| Roscoe Family Dental Center, P.c. | |
|
5640 Clayton Cir Roscoe IL 61073-9503 | |
| (815) 623-7366 | |
| (815) 623-7331 |
| Full Name | Roscoe Family Dental Center, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5640 Clayton Cir, Roscoe, Illinois |
| Authorized Official Name and Position | Vaughn De Guzman (DENTIST) |
| Authorized Official Contact | 8156237366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roscoe Family Dental Center, P.c. 5640 Clayton Cir P.o. Box 967 Roscoe IL 61073-9503 Ph: (815) 623-7366 | Roscoe Family Dental Center, P.c. 5640 Clayton Cir Roscoe IL 61073-9503 Ph: (815) 623-7366 |
| NPI Number | 1780839837 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 11/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780839837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 060009728 (Illinois) | Primary |
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