Charles Poland II DDS

NPI 1891735759 - Dentist - 1223P0221X

NPI Details
NPI 1891735759
Gender Male
Enumeration Date 06/08/2006
Last Updated 04/13/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
7526 E 82ND ST
SUITE 125
INDIANAPOLIS IN, 46256-1461, US
Phone (317) 849-2606
Fax (317) 579-8769
Business Location
5625 CASTLE CREEK PKY N. DR.
SUITE 125
INDIANAPOLIS IN, 46250-4304, US
Phone (317) 849-2606
Fax (317) 585-0006
Toxanomy
Taxonomy Code 1223P0221X
License State Indiana
License Number 12006522
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According to our database, Dr. Charles Poland II DDS NPI is 1891735759, taxonomy code is 1223P0221X and license number is 12006522, license state is located at Indiana. Charles Poland II DDS physically located at 7526 E 82nd St, Indianapolis IN, 46256-1461. NPI Number Charles Poland II DDS has the Individual type.

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1891735759 NPI number is provided on an as is basis without warranty of any kind. 1891735759 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Poland II DDS are for informational purposes only.