Organization
MARK A. MILANI D.D.S. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN MILANI DDS (CEO)
(815) 399-3092
Entity
Organization
Contact information
Practice address
4777 E STATE ST, ROCKFORD, IL 61108-2273
(815) 399-3092
(815) 399-3092
Mailing address
4777 E STATE ST, ROCKFORD, IL 61108-2273
(815) 399-3092
(815) 399-3092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019020264
IL
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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