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1295951317
THOMAS ALLEN DANIELS
ROCKFORD, IL
NPI
1295951317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL 019.016632)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Dr. THOMAS ALLEN DANIELS D.D.S.
6050 BRYNWOOD DR SUITE 201
ROCKFORD, IL 61114-6579
Phone number: 815-877-7079
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Mailing Address
Dr. THOMAS ALLEN DANIELS D.D.S.
6050 BRYNWOOD DR SUITE 201
ROCKFORD, IL 61114-6579
Phone number: 815-877-7079
Copy
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