CHERRYVALE DENTAL CENTER LLC

ROCKFORD, IL
NPI1669094041
Entity TypeOrganization
Authorized ContactBART PAUL
Sole Member
815-332-3477
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-05-08
Last Update Date2020-05-08
Business Address
CHERRYVALE DENTAL CENTER LLC
1957 PAWLISCH DR
ROCKFORD, IL 61112-1067
Phone number: 815-332-3477
Mailing Address
CHERRYVALE DENTAL CENTER LLC
1957 PAWLISCH DR
ROCKFORD, IL 61112-1067
Phone number: 815-332-3477
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