Individual
ALYSIA ALFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6985 REDANSA DR, ROCKFORD, IL 61108-1201
(815) 394-3922
Mailing address
6985 REDANSA DR, ROCKFORD, IL 61108-1201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034447
IL
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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