Organization
BP DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BURCH D.D.S (OWNER)
(815) 397-3820
Entity
Organization
Contact information
Practice address
1646 N ALPINE RD, ROCKFORD, IL 61107-1436
(815) 397-3820
Mailing address
1646 N ALPINE RD, ROCKFORD, IL 61107-1436
(815) 397-3820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
12/20/2023
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