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1003537010
32DRS FAMILY DENTAL 2, LLC
ROCKFORD, IL
NPI
1003537010
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Entity Type
Organization
Authorized Contact
JACOB PHILIP
Owner
847-250-7784
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
32DRS FAMILY DENTAL 2, LLC
5876 E STATE ST
ROCKFORD, IL 61108-2428
Phone number: 847-250-7784
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Mailing Address
32DRS FAMILY DENTAL 2, LLC
5876 E STATE ST
ROCKFORD, IL 61108-2428
Phone number:
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