Organization
CYNTHIA M. SACHS D.D.S., P.C.
Active
Other names
Charles H. Ekstrom D.D.S., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA MARIE SACHS D.D.S. (PRESIDENT)
(815) 963-1731
Entity
Organization
Contact information
Practice address
2841 GLENWOOD AVE, ROCKFORD, IL 61101-3542
(815) 963-1731
(815) 964-4415
Mailing address
2841 GLENWOOD AVE, ROCKFORD, IL 61101-3542
(815) 963-1731
(815) 964-4415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-022280
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003559
—
IL
Enumeration date
04/22/2008
Last updated
04/22/2008
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