| NPI | 1730254939 |
|---|---|
| Other Name | AMY LEE POLK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7109) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 7109) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-12-22 |