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Search › Illinois › 332B00000X

Dewayne Tentler

NPI 1124367222 · on the registry since 2013 · sole proprietor

Practice

Address
115 7th St Ste 207
Rockford, IL 61104
Phone
(815) 516-7396
Organisation at this address
Grand Smiles 4, Pllc
Heartland Medical Supplies
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
332B00000X
332B00000X
Sex
Male
Record last updated
2013-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois