Rock River Oral Surgery & Dental Implant Center LLC

NPI #1811379142 in Rockford, Illinois

Provider Information

NPI Number
1811379142
Entity Type
Organization
Organization Name
Rock River Oral Surgery & Dental Implant Center LLC
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Jun 23, 2015
Last Updated
Jun 23, 2015

Practice Location

Address
973 FEATHERSTONE RD
Address 2
SUITE 102
ZIP Code
61107-5912
Phone
(815) 399-1234

Authorized Official

Name
SHEA MCCUE, DDS
Title
ORAL SURGEON/OWNER
Phone
(815) 399-1234

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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