Organization
GRAND SMILES 4, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED WAHEED DDS (DENTIST)
(815) 597-7777
Entity
Organization
Contact information
Practice address
115 7TH ST, ROCKFORD, IL 61104-1249
(815) 597-7777
Mailing address
115 7TH ST, ROCKFORD, IL 61104-1249
(815) 597-7777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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