Alysia Alfano
Dentist, General Practice in Rockford, IL. Individual provider (NPI-1).
NPI number1073290938
StatusActive
Last updated in NPPESJul 3, 2023
Details
- NPI
- 1073290938
- Entity type
- Individual (NPI-1)
- Name
- Alysia Alfano
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2023
- Certification date
- Jul 2, 2023
- Last updated
- Jul 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019.034447 | IL | Yes |
Practice location
6985 Redansa DrRockford, IL 61108-1201
Phone 815-394-3922
Mailing address
6985 Redansa DrRockford, IL 61108-1201
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