| Winnebago Braces, Llc. | |
|
555 N Court St Ste 110 Rockford IL 61103-6898 | |
| (815) 733-2550 | |
| Not Available |
| Full Name | Winnebago Braces, Llc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 555 N Court St Ste 110, Rockford, Illinois |
| Authorized Official Name and Position | Scott Goldman (CEO/CO-FOUNDER) |
| Authorized Official Contact | 3128822569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winnebago Braces, Llc. 4849 N Milwaukee Ave Ste 403 Chicago IL 60630-2169 Ph: (312) 946-2080 | Winnebago Braces, Llc. 555 N Court St Ste 110 Rockford IL 61103-6898 Ph: (815) 733-2550 |
| NPI Number | 1952887374 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 07/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952887374 | NPI | - | NPPES |
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