Organization
FOREST CITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES STOVALL DDS (OWNER)
(815) 397-7454
Entity
Organization
Contact information
Practice address
1855 DAIMLER RD, ROCKFORD, IL 61112-1063
(815) 397-7454
(815) 397-7555
Mailing address
1855 DAIMLER RD, ROCKFORD, IL 61112-1063
(815) 397-7454
(815) 397-7555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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