Individual
DR. ETHEL SUEMURA ALFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4833 CHURCH ST, SKOKIE, IL 60077-1357
(847) 673-7118
Mailing address
4833 CHURCH ST, SKOKIE, IL 60077-1357
(847) 673-7118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035522
IL
Other
Enumeration date
04/12/2022
Last updated
09/17/2024
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