Organization
CHAMPAIGN ENDODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD ARIF DDS (OWNER)
(217) 352-5809
Entity
Organization
Contact information
Practice address
2916 CROSSING CT STE C, CHAMPAIGN, IL 61822-5900
(217) 352-5809
Mailing address
2916 CROSSING CT STE C, CHAMPAIGN, IL 61822-5900
(217) 352-5809
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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