Shady Oak Dental LLC - Rochelle Family Dental

NPI #1134692858 in Rochelle, Illinois

Provider Information

NPI Number
1134692858
Entity Type
Organization
Organization Name
Shady Oak Dental LLC - Rochelle Family Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 4, 2019
Last Updated
Jan 4, 2019

Practice Location

Address
409 LINCOLN HWY
ZIP Code
61068-1642
Phone
(815) 561-6058

Authorized Official

Name
DR. SCOTT BARES
Title
DOCTOR
Phone
(815) 275-2680

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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