32drs Family Dental 2, LLC

NPI #1003537010 in Rockford, Illinois

Provider Information

NPI Number: 1003537010
Entity Type: Organization
Organization Name: 32drs Family Dental 2, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 7, 2022
Last Updated: Sep 7, 2022

Practice Location

Address: 5876 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61108-2428
Phone: (847) 250-7784

Authorized Official

Name: DR. JACOB PHILIP
Title: OWNER
Phone: (847) 250-7784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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