ROCKFORD FAMILY DENTAL P.C.

ROCKFORD, IL
NPI1386982940
Entity TypeOrganization
Authorized ContactRAZVAN CORNEL MIRZA
Secretary/Treasurer
815-964-8713
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2013-01-16
Last Update Date2014-05-14
Business Address
ROCKFORD FAMILY DENTAL P.C.
2715 N MAIN ST
ROCKFORD, IL 61103-3111
Phone number: 815-964-8713
Mailing Address
ROCKFORD FAMILY DENTAL P.C.
2715 N MAIN ST
ROCKFORD, IL 61103-3111
Phone number: 815-964-8713