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Individual

CESAR RAUL ALBUREZ-SOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
819 BLOOMINGTON RD, CHAMPAIGN, IL 61820-2101
(860) 538-4064
Mailing address
615 DOISY LN, CHAMPAIGN, IL 61822-1038
(860) 538-4064

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.029759
IL
1223G0001X
General Practice Dentistry
2842
ZZ

Other

Enumeration date
07/19/2010
Last updated
07/11/2014
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