Organization
ROCKFORD PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BURCH DMD (OWNER)
(815) 980-5010
Entity
Organization
Contact information
Practice address
1055 FEATHERSTONE RD STE A, ROCKFORD, IL 61107-5904
(815) 520-0239
Mailing address
1055 FEATHERSTONE RD STE A, ROCKFORD, IL 61107-5904
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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