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Dr. Charles B Alfano, DMD

Dentist, General Practice in Rockford, IL. Individual provider (NPI-1).

NPI number1740352756
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1740352756
Entity type
Individual (NPI-1)
Name
Dr. Charles B Alfano
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 14, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice019019660ILYes

Practice location

483 N Mulford Rd
Rockford, IL 61107-5191

Phone 815-394-3922

Mailing address

483 N Mulford Rd
Rockford, IL 61107-5191

Phone 815-394-3922

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