PERIODONTICS OF ROCKFORD LTD.

ROCKFORD, IL
NPI1295988574
Entity TypeOrganization
Authorized ContactJEFFREY V.A. BURCH
Periodontist
815-227-5858
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  021002217)
Enumeration Date2008-10-30
Last Update Date2008-10-30
Business Address
PERIODONTICS OF ROCKFORD LTD.
1055 FEATHERSTONE RD
ROCKFORD, IL 61107
Phone number: 815-227-5858
Mailing Address
PERIODONTICS OF ROCKFORD LTD.
1055 FEATHERSTONE RD
ROCKFORD, IL 61107
Phone number: 815-227-5858
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