Individual
GREGORY UY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 E ANTHONY DR STE A, CHAMPAIGN, IL 61820-2749
(217) 359-8697
Mailing address
14 E ANTHONY DR STE A, CHAMPAIGN, IL 61820-2749
(217) 359-8697
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019033083
IL
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
About Stedi
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