Eric A Polise

NPI #1780707869 in Geneva, New York

Provider Information

NPI Number: 1780707869
Entity Type: Individual
Name: Eric A Polise
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Apr 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 30 ELM STREET
City: Geneva
State: New York
ZIP Code: 14456
Phone: (315) 781-2002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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