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Benjamin L Polan Dmd
Dental Clinic/Center in Beverly, Massachusetts
NPI 1104375526

Benjamin L Polan Dmd is a Dental Clinic/Center based in Beverly, MA and is specialized in Dental. Benjamin L Polan Dmd practices in Beverly, MA. The NPI Number for Benjamin L Polan Dmd is 1104375526 and holds a License No. 14772 (Massachusetts).

The current practice location address for Benjamin L Polan Dmd is 100 Cummings Ctr, Beverly, MA and can be reached out via phone at 978-922-1824 and via fax at 978-524-0992.

Location: 100 Cummings Ctr, Beverly, MA, 01915-6115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104375526
Provider Name
Benjamin L Polan Dmd
Credential
Provider Entity Type
Organization
Address
100 Cummings Ctr, Beverly, MA, 01915-6115
Phone Number
978-922-1824
Fax Number
978-524-0992
Provider Enumeration Date
09/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Cummings Ctr
City
Beverly
State
Massachusetts
Zip
01915-6115
Phone Number
978-922-1824
Fax Number
978-524-0992
person
Provider Business Mailing Address Details
Address
100 Cummings Ctr
City
Beverly
State
Massachusetts
Zip
01915-6115
Phone Number
978-922-1824
Fax Number
978-524-0992
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
14772 (Massachusetts)
Definition
Definition to come...
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