Organization
DENTAL DESIGNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE D HANSEN (PRESIDENT)
(815) 398-3800
Entity
Organization
Contact information
Practice address
7474 E STATE ST, SUITE 110, ROCKFORD, IL 61108-2644
(815) 398-3800
Mailing address
7474 E STATE ST, SUITE 110, ROCKFORD, IL 61108-2644
(815) 398-3800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019019603
IL
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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