Patrick Mitsos
Patrick Mitsos is a General Practice Dentistry in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
5819 E Riverside Blvd # 21Rockford, IL 61114-4963
Phone: (815) 282-4311
Fax: (815) 282-4315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019029811 (IL) |
|---|
Record details
| NPI number | 1558775122 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 11, 2014 |
| Last updated in NPPES | June 11, 2014 |
| Mailing address | 5819 E Riverside Blvd # 21, Rockford, IL 61114-4963 |
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