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1386982940
ROCKFORD FAMILY DENTAL P.C.
ROCKFORD, IL
NPI
1386982940
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Entity Type
Organization
Authorized Contact
RAZVAN CORNEL MIRZA
Secretary/Treasurer
815-964-8713
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2013-01-16
Last Update Date
2014-05-14
Business Address
ROCKFORD FAMILY DENTAL P.C.
2715 N MAIN ST
ROCKFORD, IL 61103-3111
Phone number: 815-964-8713
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Mailing Address
ROCKFORD FAMILY DENTAL P.C.
2715 N MAIN ST
ROCKFORD, IL 61103-3111
Phone number: 815-964-8713
Copy
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