PARK CITY DENTAL, PC

ROCKFORD, IL
NPI1225469596
Entity TypeOrganization
Authorized ContactJASON M GRINTER
President
815-708-6556
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019026609)
Enumeration Date2013-12-11
Last Update Date2013-12-11
Business Address
PARK CITY DENTAL, PC
555 N COURT ST SUITE 100
ROCKFORD, IL 61103-6862
Phone number: 815-708-6556
Mailing Address
PARK CITY DENTAL, PC
555 N COURT ST SUITE 100
ROCKFORD, IL 61103-6862
Phone number: 815-708-6556
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