Mys - Rochelle LLC

NPI #1407211170 in Rochelle, Illinois

Provider Information

NPI Number
1407211170
Entity Type
Organization
Organization Name
Mys - Rochelle LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 23, 2015
Last Updated
Jun 19, 2017

Practice Location

Address
1001 LINCOLN HWY
ZIP Code
61068-1514
Phone
(815) 562-2030

Authorized Official

Name
TODD STERN
Title
OWNER
Phone
(815) 398-3879

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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