Philip G. Polus, D.d.s, P.c.

NPI 1083707566 - Dentist - 1223G0001X

NPI Details
NPI 1083707566
Enumeration Date 10/02/2006
Last Updated 10/16/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PHILIP G. PHILIP
Position DR.
Phone (219) 662-0131
Fax (219) 662-3962
Practice Location
1549 SOUTH COURT STREET
SUITE B
CROWN POINT IN, 46307-4809, US
Phone (219) 662-0131
Fax (219) 662-3962
Business Location
1549 SOUTH COURT STREET
SUITE B
CROWN POINT IN, 46307-4809, US
Phone (219) 662-0131
Fax (219) 662-3962
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 8055
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According to our database, Philip G. Polus, D.d.s, P.c. NPI is 1083707566, taxonomy code is 1223G0001X and license number is 8055, license state is located at Indiana. Philip G. Polus, D.d.s, P.c. physically located at 1549 South Court Street, Crown Point IN, 46307-4809. NPI Number 1033115704 has the healthcare provider type.

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1083707566 NPI number is provided on an as is basis without warranty of any kind. 1083707566 is maintained by the National Plan & Provider Enumeration System. The contents of Philip G. Polus, D.d.s, P.c. are for informational purposes only.