Organization
JULIA R. PESAVENTO, D.M.D.
Active
Parent organization
JULIA R. PESAVENTO, D.M.D.
Other names
Katherine F. Stewart, D.D.S.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JULIA R. PESAVENTO, D.M.D.
Authorized official
DR. JULIA REGINA PESAVENTO D.M.D. (OWNER)
(815) 395-1711
Entity
Organization
Contact information
Practice address
1075 FEATHERSTONE RD, SUITE 30, ROCKFORD, IL 61107-5906
(815) 395-1711
(815) 395-1705
Mailing address
1075 FEATHERSTONE RD, SUITE 30, ROCKFORD, IL 61107-5906
(815) 395-1711
(815) 395-1705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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