Individual
DR. NINO DEMETRIUS POLLACCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10210 W HAPPY VALLEY PKWY STE 150, PEORIA, AZ 85383-2881
(623) 230-2297
(623) 239-3547
Mailing address
10210 W HAPPY VALLEY PKWY STE 150, PEORIA, AZ 85383-2881
(623) 230-2297
(623) 239-3547
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8941
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D010824
AZ
Other
Enumeration date
04/02/2007
Last updated
04/08/2022
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