| Grand Smiles 4, Pllc | |
|
115 7th St Rockford IL 61104-1249 | |
| (815) 597-7777 | |
| Not Available |
| Full Name | Grand Smiles 4, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 7th St, Rockford, Illinois |
| Authorized Official Name and Position | Mohamed Waheed (DENTIST) |
| Authorized Official Contact | 8155977777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Smiles 4, Pllc 115 7th St Rockford IL 61104-1249 Ph: (815) 597-7777 | Grand Smiles 4, Pllc 115 7th St Rockford IL 61104-1249 Ph: (815) 597-7777 |
| NPI Number | 1194690214 |
|---|---|
| Provider Enumeration Date | 10/08/2025 |
| Last Update Date | 10/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194690214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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