Individual
DR. GERALD AWADZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
507 N HERSHEY RD, SUITE B, BLOOMINGTON, IL 61704-3744
(309) 664-2288
(309) 664-5068
Mailing address
507 N HERSHEY RD, SUITE B, BLOOMINGTON, IL 61704-3744
(309) 664-2288
(309) 664-5068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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