MODERN DENTAL OF ROCKFORD LLC

ROCKFORD, IL
NPI1346563525
Entity TypeOrganization
Authorized ContactJEFF THOMAS
President
618-532-4902
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2010-03-02
Last Update Date2010-03-02
Business Address
MODERN DENTAL OF ROCKFORD LLC
1321 SANDY HOLLOW RD
ROCKFORD, IL 61109-2120
Phone number: 815-209-9070
Mailing Address
MODERN DENTAL OF ROCKFORD LLC
1321 SANDY HOLLOW RD
ROCKFORD, IL 61109-2120
Phone number: 815-209-9070
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