Individual
DR. JUSTIN MATTHEW FELIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3311
Mailing address
611 S STATE ST # 304, CHAMPAIGN, IL 61820-5170
(647) 569-4857
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
018002159
IL
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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