| Great Smiles Of Rockford, Ltd | |
|
780 N Mulford Rd Rockford IL 61107-3855 | |
| (815) 395-1600 | |
| (815) 399-0614 |
| Full Name | Great Smiles Of Rockford, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 780 N Mulford Rd, Rockford, Illinois |
| Authorized Official Name and Position | Jonathan Nabong Abiera (PRESIDENT) |
| Authorized Official Contact | 8153951600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Smiles Of Rockford, Ltd 780 N Mulford Rd Rockford IL 61107-3855 Ph: (815) 395-1600 | Great Smiles Of Rockford, Ltd 780 N Mulford Rd Rockford IL 61107-3855 Ph: (815) 395-1600 |
| NPI Number | 1538386933 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 09/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538386933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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