Organization · Type 2 NPI
Cherryvale Dental Center LLC
Dental Clinic/Center · Rockford, IL
NPI number
1669094041
Active
Practice location
1957 Pawlisch Dr
Rockford, IL 61112-1067
Fax (815) 332-3470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1669094041
Cherryvale Dental Center LLC's National Provider Identifier is 1669094041, issued on May 8, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rockford, IL. The record was last updated on May 8, 2020.