Organization
GREAT SMILES OF ROCKFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABIERA N ABIERA DMD (DENTIST)
(815) 395-1600
Entity
Organization
Contact information
Practice address
780 N. MULFRORD ROAD, ROCKFORD, IL 61107
(815) 395-1600
Mailing address
780 N. MULFRORD ROAD, ROCKFORD, IL 61107
(815) 395-1600
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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