Mark A. Milani D.d.s. PC

NPI #1356634208 in Rockford, Illinois

Provider Information

NPI Number: 1356634208
Entity Type: Organization
Organization Name: Mark A. Milani D.d.s. PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 25, 2011
Last Updated: May 25, 2011

Practice Location

Address: 4777 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61108-2273
Phone: (815) 399-3092

Authorized Official

Name: DR. MARK ALAN MILANI, DDS
Title: CEO
Phone: (815) 399-3092

Specialties & Taxonomy Codes

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

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