Individual
EFRAIN ALVARADO VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 CONVENIENCE PL STE A, CHAMPAIGN, IL 61820-8927
(217) 275-5813
Mailing address
213 PURYEAR ST, INDIANAPOLIS, IN 46202-4463
(317) 845-6466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.036863
IL
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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