Great Smiles of Rockford

NPI #1851523146 in Rockford, Illinois

Provider Information

NPI Number: 1851523146
Entity Type: Organization
Organization Name: Great Smiles of Rockford
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Aug 20, 2009
Last Updated: Aug 20, 2009

Practice Location

Address: 780 N. MULFRORD ROAD
City: Rockford
State: Illinois
ZIP Code: 61107
Phone: (815) 395-1600

Authorized Official

Name: DR. ABIERA N ABIERA, DMD
Title: DENTIST
Phone: (815) 395-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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