| Ideal Dental Care Pc | |
|
5876 E State St Rockford IL 61108-2428 | |
| (607) 425-8450 | |
| Not Available |
| Full Name | Ideal Dental Care Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5876 E State St, Rockford, Illinois |
| Authorized Official Name and Position | Saima Yusaf (PRESIDENT) |
| Authorized Official Contact | 6074258450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Care Pc 5376 Forest Trail Dr Rockford IL 61109-6515 Ph: (607) 425-8450 | Ideal Dental Care Pc 5876 E State St Rockford IL 61108-2428 Ph: (607) 425-8450 |
| NPI Number | 1841616661 |
|---|---|
| Provider Enumeration Date | 03/18/2014 |
| Last Update Date | 03/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841616661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019.027844 (Illinois) | Primary |
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