Organization
AFFORDABLE DENTISTRY TODAY
Active
Parent organization
AFFORDABLE DENTISTRY TODAY
Other names
Affordable Dentistry Today - Rockford
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFFORDABLE DENTISTRY TODAY
Authorized official
KELLI WALKER (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
5819 E RIVERSIDE BLVD # 21, ROCKFORD, IL 61114-4963
(815) 282-4311
(815) 282-4315
Mailing address
5819 E RIVERSIDE BLVD # 21, ROCKFORD, IL 61114-4963
(815) 282-4311
(815) 282-4315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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