Dr. June Upshaw Lallas, DDS
Dentist, General Practice in Rockford, IL. Individual provider (NPI-1).
NPI number1528041597
StatusActive
Last updated in NPPESJul 31, 2015
Details
- NPI
- 1528041597
- Entity type
- Individual (NPI-1)
- Name
- Dr. June Upshaw Lallas
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 23, 2005
- Last updated
- Jul 31, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019023799 | IL | Yes |
Other names
- June Elen Upshaw (Former Name)
Practice location
1200 W State StRockford, IL 61102-2112
Phone 815-490-1600 · Fax 815-547-1595
Mailing address
1200 W State StRockford, IL 61102-2112
Phone 815-490-1600 · Fax 815-547-1595
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