Individual
AQIL VALIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6215 E STATE ST, ROCKFORD, IL 61108-2514
(815) 399-7777
Mailing address
34 RIVER RIDGE DR, SLEEPY HOLLOW, IL 60118-3119
(224) 402-4382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032702
IL
Other
Enumeration date
04/04/2020
Last updated
06/16/2020
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