Organization
IDEAL DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIMA YUSAF DDS (PRESIDENT)
(607) 425-8450
Entity
Organization
Contact information
Practice address
5876 E STATE ST, ROCKFORD, IL 61108-2428
(607) 425-8450
Mailing address
5376 FOREST TRAIL DR, ROCKFORD, IL 61109-6515
(607) 425-8450
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.027844
IL
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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