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1629135637
MARC WASSERMAN
ROCKFORD, IL
NPI
1629135637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019017323)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
-- MARC WASSERMAN dds
7318 ARGUS DR
ROCKFORD, IL 61107-5864
Phone number: 815-227-5481
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Mailing Address
-- MARC WASSERMAN dds
7318 ARGUS DR
ROCKFORD, IL 61107-5864
Phone number: 815-227-5481
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