| NPI | 1295874592 |
|---|---|
| Other Name | POLLENE SPEED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00005490) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00005490) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |