David Lawrence Polk D.D.S

NPI 1083695480 - Dentist - 122300000X

NPI Details
NPI 1083695480
Gender Male
Enumeration Date 11/11/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
167 W MAIN ST
BEDFORD VA, 24523-1950, US
Phone (540) 586-8106
Fax (540) 586-5054
Business Location
1577 WALKERS CROSSING DR
FOREST VA, 24551-4512, US
Phone (540) 525-4902
Fax
Toxanomy
Taxonomy Code 122300000X
License State Virginia
License Number 08739
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According to our database, Dr. David Lawrence Polk D.D.S NPI is 1083695480, taxonomy code is 122300000X and license number is 08739, license state is located at Virginia. David Lawrence Polk D.D.S physically located at 167 W Main St, Bedford VA, 24523-1950. NPI Number David Lawrence Polk D.D.S has the Individual type.

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1083695480 NPI number is provided on an as is basis without warranty of any kind. 1083695480 is maintained by the National Plan & Provider Enumeration System. The contents of David Lawrence Polk D.D.S are for informational purposes only.