CHERRYVALE DENTAL CENTER LLC is a dental clinic center in Rockford, IL. CHERRYVALE DENTAL CENTER LLC NPI is 1669094041. The provider is registered as an organization entity type.
The provider's business location address is:
1957 PAWLISCH DR
ROCKFORD, IL
ZIP 61112-067
Phone: (815) 332-3477
Fax: (815) 332-3470
The provider's authorized official is Bart Paul .
The authorized official title is Sole Member and has the following contact phone number (815) 332-3477.
The CLIA number assigned to this NPI record is 14D0429570 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/8/2020 and was last updated on 5/8/2020.