| Mys - Rockford Llc | |
|
1110 S Mulford Rd Rockford IL 61108-4213 | |
| (815) 398-3879 | |
| Not Available |
| Full Name | Mys - Rockford Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1110 S Mulford Rd, Rockford, Illinois |
| Authorized Official Name and Position | Todd Stern (OWNER) |
| Authorized Official Contact | 8153982879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mys - Rockford Llc 1110 S Mulford Rd Rockford IL 61108-4213 Ph: (815) 398-3879 | Mys - Rockford Llc 1110 S Mulford Rd Rockford IL 61108-4213 Ph: (815) 398-3879 |
| NPI Number | 1952771636 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 06/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952771636 | NPI | - | NPPES |
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