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Search › Illinois › General Practice Dentistry

Samuel Wallden, D.M.D

NPI 1811348287 · on the registry since 2016

Practice

Address
6075 Vantage Pl
Rockford, IL 61107
Phone
(815) 399-0677
Organisation at this address
Thomas H. Moore Dds Ltd
Thomas H. Moore D.D.S. Ltd
Kelly J. Moore D.D.S., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-28

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