Kimberly Polk

NPI 1013990944 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1013990944
Gender Female
Enumeration Date 11/23/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
982 E MAIN ST
BRIDGEPORT CT, 06608-1913, US
Phone (203) 696-3260
Fax (203) 332-0376
Business Location
471 BARNUM AVE
BRIDGEPORT CT, 06608-2409, US
Phone (203) 333-6864
Fax (203) 332-0376
Toxanomy
Taxonomy Code 124Q00000X
License State Connecticut
License Number 006653
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According to our database, Kimberly Polk NPI is 1013990944, taxonomy code is 124Q00000X and license number is 006653, license state is located at Connecticut. Kimberly Polk physically located at 982 E Main St, Bridgeport CT, 06608-1913. NPI Number Kimberly Polk has the Individual type.

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1013990944 NPI number is provided on an as is basis without warranty of any kind. 1013990944 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Polk are for informational purposes only.