DR. Jonathan Duane Polisner, D.M.D.

NPI #1912088956 in Scarborough, Maine

Provider Information

NPI Number: 1912088956
Entity Type: Individual
Name: DR. Jonathan Duane Polisner, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Oct 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 243 US ROUTE 1
Address 2: SUITE 2
City: Scarborough
State: Maine
ZIP Code: 04074-7400
Phone: (207) 883-8911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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