Andrew Adiputra
Andrew Adiputra is a Dentist in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2019.
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
314 W Kirby AveChampaign, IL 61820-7208
Phone: (217) 398-9898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019032270 (IL) |
|---|
Record details
| NPI number | 1205489671 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 24, 2019 |
| Last updated in NPPES | July 24, 2019 |
| Mailing address | 314 W Kirby Ave, Champaign, IL 61820-7208 |
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