Individual
CYNTHIA UWASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1200 W STATE ST, ROCKFORD, IL 61102
(815) 490-1600
(815) 490-1881
Mailing address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 490-1881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031518
IL
Other
Enumeration date
02/23/2018
Last updated
08/31/2018
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