Individual
DR. AMANDA L THORNTON MORKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3065 N PERRYVILLE RD, ROCKFORD, IL 61114-8053
(630) 205-3858
Mailing address
3065 N PERRYVILLE RD, ROCKFORD, IL 61114-8053
(630) 205-3858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.30305
IL
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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