| Russell S. Pollina D.d.s., Pc | |
|
601 W. Central Road Suite 4 Mt. Prospect IL 60056 | |
| (847) 392-2457 | |
| (847) 392-6119 |
| Full Name | Russell S. Pollina D.d.s., Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 601 W. Central Road, Mt. Prospect, Illinois |
| Authorized Official Name and Position | Russell S. Pollina (OWNER/PRESIDENT) |
| Authorized Official Contact | 8473922457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell S. Pollina D.d.s., Pc 601 W. Central Road Suite 4 Mt. Prospect IL 60056 Ph: (847) 392-2457 | Russell S. Pollina D.d.s., Pc 601 W. Central Road Suite 4 Mt. Prospect IL 60056 Ph: (847) 392-2457 |
| NPI Number | 1336483825 |
|---|---|
| Provider Enumeration Date | 11/21/2012 |
| Last Update Date | 11/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336483825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Blocki And Bashford Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E. Evergreen, Suite 129, Mt. Prospect, IL 60056 Phone: 847-259-7560 Fax: 847-259-0808 |