| Rockford Dental Lounge Inc | |
|
4312 E State St Ste 1 Rockford IL 61108-2144 | |
| (773) 865-2859 | |
| Not Available |
| Full Name | Rockford Dental Lounge Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4312 E State St Ste 1, Rockford, Illinois |
| Authorized Official Name and Position | Rabeh R Salamah-mohammad (OWNER) |
| Authorized Official Contact | 7735436143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockford Dental Lounge Inc 4312 E State St Ste 1 Rockford IL 61108-2144 Ph: () - | Rockford Dental Lounge Inc 4312 E State St Ste 1 Rockford IL 61108-2144 Ph: (773) 865-2859 |
| NPI Number | 1932988458 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932988458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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