Brian Polillo, D.D.S

NPI 1497177042 · on the registry since 2014

Practice

Address: 16810 Meridian E
Suite J107
Puyallup, WA 98375
Phone: (253) 848-7777
Fax: (253) 848-7783
Organisation at this address: Washington Dental Corporation Pc
Washington Dental Corporation, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington