Procare Dental Group, P.c.

NPI #1649337882 in Rockford, Illinois

Provider Information

NPI Number: 1649337882
Entity Type: Organization
Organization Name: Procare Dental Group, P.c.
Primary Specialty: Dentist
Enumeration Date: Jan 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5301 E STATE ST
Address 2: STE 307A
City: Rockford
State: Illinois
ZIP Code: 61108-2901
Phone: (815) 398-0191

Authorized Official

Name: DR. ROBERT G. BRUNETTI, D.D.S.
Title: C.E.O.
Phone: (847) 640-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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