| 32drs Family Dental 2, Llc | |
|
5876 E State St Rockford IL 61108-2428 | |
| (847) 250-7784 | |
| Not Available |
| Full Name | 32drs Family Dental 2, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5876 E State St, Rockford, Illinois |
| Authorized Official Name and Position | Jacob Philip (OWNER) |
| Authorized Official Contact | 8472507784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 32drs Family Dental 2, Llc 5876 E State St Rockford IL 61108-2428 Ph: () - | 32drs Family Dental 2, Llc 5876 E State St Rockford IL 61108-2428 Ph: (847) 250-7784 |
| NPI Number | 1003537010 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 09/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003537010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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