| Knox Family Orthodontics Llc | |
|
506 Knox Square Dr Ste 10 Galesburg IL 61401-8663 | |
| (309) 565-8374 | |
| Not Available |
| Full Name | Knox Family Orthodontics Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 506 Knox Square Dr Ste 10, Galesburg, Illinois |
| Authorized Official Name and Position | Matthew Rozny (OWNER) |
| Authorized Official Contact | 7088310056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knox Family Orthodontics Llc 455 N Broad St Apt 1 Galesburg IL 61401-6763 Ph: (708) 831-0056 | Knox Family Orthodontics Llc 506 Knox Square Dr Ste 10 Galesburg IL 61401-8663 Ph: (309) 565-8374 |
| NPI Number | 1689131559 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 02/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689131559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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