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Rockford Dental Lounge Inc
Dental Clinic/Center in Rockford, Illinois
NPI 1932988458

Rockford Dental Lounge Inc is a Dental Clinic/Center based in Rockford, IL and is specialized in Dental. Rockford Dental Lounge Inc practices in Rockford, IL. The NPI Number for Rockford Dental Lounge Inc is 1932988458 and holds a License No. (Illinois).

The current practice location address for Rockford Dental Lounge Inc is 4312 E State St Ste 1, Rockford, IL and can be reached out via phone at 773-865-2859.

Location: 4312 E State St Ste 1, Rockford, IL, 61108-2144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932988458
Provider Name
Rockford Dental Lounge Inc
Credential
Provider Entity Type
Organization
Address
4312 E State St Ste 1, Rockford, IL, 61108-2144
Phone Number
773-865-2859
Fax Number
Provider Enumeration Date
09/25/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4312 E State St Ste 1
City
Rockford
State
Illinois
Zip
61108-2144
Phone Number
773-865-2859
Fax Number
person
Provider Business Mailing Address Details
Address
4312 E State St Ste 1
City
Rockford
State
Illinois
Zip
61108-2144
Phone Number
773-865-2859
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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