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1669094041
CHERRYVALE DENTAL CENTER LLC
ROCKFORD, IL
NPI
1669094041
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Entity Type
Organization
Authorized Contact
BART PAUL
Sole Member
815-332-3477
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-05-08
Last Update Date
2020-05-08
Business Address
CHERRYVALE DENTAL CENTER LLC
1957 PAWLISCH DR
ROCKFORD, IL 61112-1067
Phone number: 815-332-3477
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Mailing Address
CHERRYVALE DENTAL CENTER LLC
1957 PAWLISCH DR
ROCKFORD, IL 61112-1067
Phone number: 815-332-3477
Copy
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