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1265162325
PATRICIA M WALTZ
ROCKFORD, IL
NPI
1265162325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.033700)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
Dr. PATRICIA M WALTZ DMD
845 S PERRYVILLE RD UNIT 127
ROCKFORD, IL 61108-4340
Phone number: 779-423-2135
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Mailing Address
Dr. PATRICIA M WALTZ DMD
845 S PERRYVILLE RD UNIT 127
ROCKFORD, IL 61108-4340
Phone number: 779-423-2135
Copy
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