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NPI 1669728002

IndividualActive

Elizabeth Polak

NPI 1669728002 · Periodontics · Annapolis, MD

Provider details

NPI number: 1669728002
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Sex: Female
Sole proprietor: Yes
License: 17400 (MD)

Practice location

888 Bestgate Rd Ste 300

Annapolis, MD 21401-2955

Phone: (303) 880-1999

More MD providers

Mailing address

24 Hunting Ct Unit 22

Edgewater, MD 21037-1232

Registry dates

Enumerated: 2012-08-02
Last updated: 2025-12-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Elizabeth Polak — NPI 1669728002, Annapolis, MD | NPI Central