Provider Demographics
NPI:1760973903
Name:POLSTER, KERSTIN BRIGITTA (DMD)
Entity Type:Individual
Prefix:DR
First Name:KERSTIN
Middle Name:BRIGITTA
Last Name:POLSTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GANGHOFERSTRASSE 26
Mailing Address - Street 2:
Mailing Address - City:FUERTH
Mailing Address - State:BAVARIA
Mailing Address - Zip Code:90765
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:GANGHOFERSTRASSE 26
Practice Address - Street 2:
Practice Address - City:FUERTH
Practice Address - State:BAVARIA
Practice Address - Zip Code:90765
Practice Address - Country:DE
Practice Address - Phone:011-499-1160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN183191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice