Organization
ORTHODONTIC EXPERTS
Active
Parent organization
1154674471
Organization subpart
Yes
Provider details
NPI number
Legal business name
1154674471
Authorized official
MONIKA BZDAL (INSURANCE COORDINATOR)
(773) 801-7171
Entity
Organization
Contact information
Practice address
5051 E STATE ST, ROCKFORD, IL 61108-2310
(773) 801-7171
Mailing address
5051 E STATE ST, ROCKFORD, IL 61108-2310
(773) 801-7171
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002488
IL
Other
Enumeration date
01/25/2016
Last updated
01/21/2020
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