Organization · Type 2 NPI
Pumilia Family Dental LLC
Customized Equipment (DME) · Rockford, IL
NPI number
1679977458
Active
Practice location
755 S Mulford Rd
Rockford, IL 61108-4208
Fax (815) 398-2620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 319.010939 (IL) |
| Customized Equipment (DME) Primary | 332BC3200X | 019021788 (IL) |
Customized Equipment (DME): Definition to come...
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About NPI 1679977458
Pumilia Family Dental LLC's National Provider Identifier is 1679977458, issued on Oct 22, 2014. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Rockford, IL. The record was last updated on Jan 22, 2018.