Organization · Type 2 NPI

Modern Dental of Rockford LLC

General Practice Dentistry · Rockford, IL

NPI number 1346563525 Active

About NPI 1346563525

Modern Dental of Rockford LLC's National Provider Identifier is 1346563525, issued on Mar 2, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rockford, IL. The record was last updated on Mar 2, 2010.