Cherryvale Dental Center LLC
NPI #1669094041 in Rockford, Illinois
Provider Information
- NPI Number
- 1669094041
- Entity Type
- Organization
- Organization Name
- Cherryvale Dental Center LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 8, 2020
- Last Updated
- May 8, 2020
Practice Location
Authorized Official
- Name
- BART PAUL, DDS
- Title
- SOLE MEMBER
- Phone
- (815) 332-3477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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