Affordable Dentistry Today
Dentist, General Practice in Rockford, IL. Organization (NPI-2).
NPI number1629393962
StatusActive
Last updated in NPPESMar 30, 2010
Details
- NPI
- 1629393962
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Dentistry Today
- Organization subpart
- Yes
- Enumeration date
- Mar 30, 2010
- Last updated
- Mar 30, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Affordable Dentistry Today - Rockford (Doing Business As)
Practice location
5819 E Riverside Blvd # 21Rockford, IL 61114-4963
Phone 815-282-4311 · Fax 815-282-4315
Mailing address
5819 E Riverside Blvd # 21Rockford, IL 61114-4963
Phone 815-282-4311 · Fax 815-282-4315
Authorized official
Kelli Walker
Insurance/Credentialing
2175405100
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