Strictly Dental, Inc.

NPI #1932598505 in Rockford, Illinois

Provider Information

NPI Number: 1932598505
Entity Type: Organization
Organization Name: Strictly Dental, Inc.
Primary Specialty: Dentist
Enumeration Date: Jan 20, 2015
Last Updated: Mar 18, 2015

Practice Location

Address: 3920 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61108-2050
Phone: (815) 397-7370

Authorized Official

Name: MATTHEW S PETERSON
Title: MANAGER
Phone: (815) 397-7370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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