Apex-Northwestern Dental Group LLP

NPI #1326390113 in Rockford, Illinois

Provider Information

NPI Number: 1326390113
Entity Type: Organization
Organization Name: Apex-Northwestern Dental Group LLP
Primary Specialty: Dentist
Enumeration Date: Oct 4, 2012
Last Updated: Oct 4, 2012

Practice Location

Address: 364 FINANCIAL CT
Address 2: SUITE A
City: Rockford
State: Illinois
ZIP Code: 61107-6668
Phone: (815) 398-0303

Authorized Official

Name: DR. LAWRENCE A MULVANEY, DDS
Title: MANAGING PARTNER
Phone: (815) 398-0303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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