NPI 1083905467

International Dental Center

Organisation Point of Service Rockford, IL

Practice location

Address: 3502 E State St, Rockford, IL 61108-1914
Phone: (815) 227-1050

Authorised official

Name: Rabeh R Mohammad-Salamah
Title: President
Phone: (773) 227-1245

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Illinois →

Registry record

NPI: 1083905467
Entity type: Organization
NPI issued: 20 Apr 2011
Record last updated: 20 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.