RICHARD KEITH USEDOM

ROCKFORD, IL
NPI1922263607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019018382)
Enumeration Date2008-07-22
Last Update Date2008-07-22
Business Address
Dr. RICHARD KEITH USEDOM DDS
6050 BRYNWOOD DR STE 106
ROCKFORD, IL 61114-6579
Phone number: 815-877-3565
Mailing Address
Dr. RICHARD KEITH USEDOM DDS
6050 BRYNWOOD DR STE 106
ROCKFORD, IL 61114-6579
Phone number: 815-877-3565
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