NPI 1497265516

Peoria Oral & Implant Surgery PLLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Peoria, AZ

Practice location

Address: 10210 W Happy Valley Pkwy STE 150, Peoria, AZ 85383-2881
Phone: (623) 230-2297
Mailing address: 7926 W Emory Ln, Peoria, AZ 85383-1024

Authorised official

Name: Nino Pollaccia
Title: Owner
Phone: (623) 230-2297

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Arizona →

Oral and Maxillofacial Surgery Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QS0112X

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Registry record

NPI: 1497265516
Entity type: Organization
NPI issued: 3 Oct 2017
Record last updated: 24 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.