Individual
HOLLY JANE BARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1601
Mailing address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027266
IL
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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