Main Square Dental

NPI #1922457126 in Roscoe, Illinois

Provider Information

NPI Number: 1922457126
Entity Type: Organization
Organization Name: Main Square Dental
Primary Specialty: Dentist
Enumeration Date: Jun 8, 2016
Last Updated: Jun 8, 2016

Practice Location

Address: 5392 WILLIAMS DR
City: Roscoe
State: Illinois
ZIP Code: 61073-7320
Phone: (815) 623-9292

Authorized Official

Name: DR. MARTHA MULDOWNEY
Title: DR
Phone: (815) 623-9292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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