ANDREW ADIPUTRA

NPI: 1205489671 · Individual · Active

Primary Specialty

Dentist

Practice Location

314 W KIRBY AVE
CHAMPAIGN, IL 61820-7208 Map ↗
Phone: 217-398-9898

All Specialties & Licenses

  • Dentist Primary (license: 019032270, IL)

NPI Registration

Enumerated: 2019-07-24

Last CMS Update: 2019-07-24