Organization
INTERNATIONAL DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RABEH R MOHAMMAD-SALAMAH DDS (PRESIDENT)
(773) 227-1245
Entity
Organization
Contact information
Practice address
3502 E STATE ST, ROCKFORD, IL 61108-1914
(815) 227-1050
Mailing address
3502 E STATE ST, ROCKFORD, IL 61108-1914
(815) 227-1050
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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