Organization · Type 2 NPI
Mys-Roscoe LLC
Dental Clinic/Center · Roscoe, IL
NPI number
1073340766
Active
Practice location
5416 Reimer Drive
Roscoe, IL 61073
Mailing address
1110 S Mulford Rd
Rockford, IL 61108-4213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1073340766
Mys-Roscoe LLC's National Provider Identifier is 1073340766, issued on Sep 17, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Roscoe, IL. The record was last updated on Sep 17, 2024.