Individual
DR. CRISTIAN SOSA-ENAMORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2111 E OAKLAND AVE STE D, BLOOMINGTON, IL 61701-5783
(309) 663-6564
Mailing address
2111 E OAKLAND AVE STE D, BLOOMINGTON, IL 61701-5783
(309) 663-6564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019036171
IL
Other
Enumeration date
07/01/2020
Last updated
08/26/2025
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