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Organization

SWEDISHAMERICAN HOSPITAL

Active
Other names
SAH ORAL & MAXILLOFACIAL SURGERY
Organization subpart
No

Provider details

NPI number
Authorized official
DON DANIELS (VP)
(815) 966-2084
Entity
Organization

Contact information

Practice address
425 ROXBURY RD, ROCKFORD, IL 61107
(779) 696-7150
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
01/09/2017
Last updated
07/12/2018
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