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Organization

ROCKFORD DENTAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID DIMKE DMD (DENTIST)
(815) 519-6218
Entity
Organization

Contact information

Practice address
8100 FOREST HILLS RD, LOVES PARK, IL 61111-2709
(815) 633-9864
(815) 327-9160
Mailing address
6078 PALO VERDE DR, ROCKFORD, IL 61114-8117
(815) 633-9864
(815) 327-9160

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026768
IL

Other

Enumeration date
10/28/2015
Last updated
10/28/2015
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