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Organization

RUSSELL S. POLLINA D.D.S., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUSSELL S. POLLINA D.D.S. (OWNER/PRESIDENT)
(847) 392-2457
Entity
Organization

Contact information

Practice address
601 W. CENTRAL ROAD, SUITE 4, MT. PROSPECT, IL 60056
(847) 392-2457
(847) 392-6119
Mailing address
601 W. CENTRAL ROAD, SUITE 4, MT. PROSPECT, IL 60056
(847) 392-2457
(847) 392-6119

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
11/21/2012
Last updated
11/21/2012
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