EFRAIN ALVARADO VARGAS
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1184576340- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1905 CONVENIENCE PL STE A, CHAMPAIGN, IL, 618208927
- Phone
- (217) 275-5813
Specialties & Taxonomies
Dentist
Primary License: IL #019.036863