OrganizationActive
International Dental Center
NPI 1083905467 · Point of Service · Rockford, IL
Provider details
- NPI number
- 1083905467
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Rabeh Mohammad-Salamah, President(773) 227-1245
Specialties & taxonomies
Managed Care Organizations
Practice location
3502 E State St
Rockford, IL 61108-1914
Phone: (815) 227-1050
Approximate (ZIP-level) locationGet directions
Mailing address
3502 E State St
Rockford, IL 61108-1914
Registry dates
- Enumerated
- 2011-04-20
- Last updated
- 2011-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.