Charles Street Dental | |
3020 Charles St Rockford IL 61108-1758 | |
(815) 399-5181 | |
(815) 399-1721 |
Full Name | Charles Street Dental |
---|---|
Speciality | Dentist |
Location | 3020 Charles St, Rockford, Illinois |
Authorized Official Name and Position | Ekram K Saeed (DENTIST) |
Authorized Official Contact | 8153995181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Charles Street Dental 3020 Charles St Rockford IL 61108-1758 Ph: (815) 399-5181 | Charles Street Dental 3020 Charles St Rockford IL 61108-1758 Ph: (815) 399-5181 |
NPI Number | 1487098075 |
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Provider Enumeration Date | 04/25/2013 |
Last Update Date | 04/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487098075 | NPI | - | NPPES |
1528289626 | Other | IL | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019-023618 (Illinois) | Primary |
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