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Js Dental, LLC

Clinic/Center, Dental in Harvard, IL. Organization (NPI-2).

NPI number1295543213
StatusActive
Last updated in NPPESDec 23, 2024

Details

NPI
1295543213
Entity type
Organization (NPI-2)
Legal business name
Js Dental, LLC
Organization subpart
No
Enumeration date
Dec 23, 2024
Certification date
Dec 22, 2024
Last updated
Dec 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

604 N Division St
Harvard, IL 60033-2443

Phone 815-988-9655

Mailing address

13 Crestwood Ln
Rockford, IL 61107-1012

Phone 815-988-9655

Authorized official

Jon Szleszinski
Owner
8159889655

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