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Organization

ROCKFORD DENTAL LOUNGE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RABEH R SALAMAH-MOHAMMAD (OWNER)
(773) 543-6143
Entity
Organization

Contact information

Practice address
4312 E STATE ST STE 1, ROCKFORD, IL 61108-2144
(773) 865-2859
Mailing address
4312 E STATE ST STE 1, ROCKFORD, IL 61108-2144

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/25/2023
Last updated
09/25/2023
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