Individual
DR. MARK ALAN MILANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4777 E STATE ST, 11, ROCKFORD, IL 61108-2273
(815) 399-3092
(815) 399-3092
Mailing address
4777 E STATE ST, 11, ROCKFORD, IL 61108-2273
(815) 399-3092
(815) 399-3092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020264
IL
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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