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Mys - Rockford Llc
Dental Clinic/Center in Rockford, Illinois
NPI 1952771636

Mys - Rockford Llc is a Dental Clinic/Center based in Rockford, IL and is specialized in Dental. Mys - Rockford Llc practices in Rockford, IL. The NPI Number for Mys - Rockford Llc is 1952771636 and holds a License No. 019028820 (Illinois).

The current practice location address for Mys - Rockford Llc is 1110 S Mulford Rd, Rockford, IL and can be reached out via phone at 815-398-3879.

Location: 1110 S Mulford Rd, Rockford, IL, 61108-4213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952771636
Provider Name
Mys - Rockford Llc
Credential
Provider Entity Type
Organization
Address
1110 S Mulford Rd, Rockford, IL, 61108-4213
Phone Number
815-398-3879
Fax Number
Provider Enumeration Date
10/06/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1110 S Mulford Rd
City
Rockford
State
Illinois
Zip
61108-4213
Phone Number
815-398-3879
Fax Number
person
Provider Business Mailing Address Details
Address
1110 S Mulford Rd
City
Rockford
State
Illinois
Zip
61108-4213
Phone Number
815-398-3879
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019024307 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
019028820 (Illinois)
Definition
Definition to come...
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