THEODORE JOHN POLTORAK

LINWOOD, NJ
NPI1588853857
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NJ  14481)
Enumeration Date2007-10-23
Last Update Date2007-10-23
Business Address
Dr. THEODORE JOHN POLTORAK DDS
77 CENTRAL SQ
LINWOOD, NJ 08221-2168
Phone number: 609-927-4336
Mailing Address
Dr. THEODORE JOHN POLTORAK DDS
77 CENTRAL SQ
LINWOOD, NJ 08221-2168
Phone number: 609-927-4336