Polk, Diana Suzanne

Polk, Diana Suzanne is an individual health care provider with primary practice located at 11 N Beverwyck Rd , Lake Hiawatha NJ 07034-2518. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Polk, Diana Suzanne can be contacted via phone (973) 334-0212.

Contact Information

Primary practice address
11 N Beverwyck Rd Lake Hiawatha NJ 07034-2518
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI01879100 New Jersey

Profile Details

NPI number 1437341336
LBN Legal business name Polk, Diana Suzanne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Aug 14th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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