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1386653111
MATT A MLSNA
ROCKFORD, IL
NPI
1386653111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-019732)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
Dr. MATT A MLSNA D.D.S.
1301 N ALPINE RD
ROCKFORD, IL 61107-2262
Phone number: 815-397-4280
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Mailing Address
Dr. MATT A MLSNA D.D.S.
1259 KRUPKE RD
CALEDONIA, IL 61011-9567
Phone number: 815-765-1989
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