| NPI | 1497749865 |
|---|---|
| Former Name | MARGARET ELLEN POLIFKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401411056) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: VA 0401411056) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2022-06-09 |