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Individual

DR. JOSEPH CHARLES SYRACUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1393 SOUTH ALPINE ROAD, ROCKFORD, IL 61108-4069
(815) 397-5701
Mailing address
5809 FOREST VIEW AVE, ROCKFORD, IL 61108-6671
(815) 226-4717

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Enumeration date
12/04/2006
Last updated
07/08/2007
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