ALEXANDRIA CARLYLE

CHAMPAIGN, IL
NPI1437761665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  36614)
Enumeration Date2020-08-19
Last Update Date2021-06-21
Business Address
Dr. ALEXANDRIA CARLYLE DMD
1905 CONVENIENCE PL STE A
CHAMPAIGN, IL 61820-8927
Phone number: 808-457-2520
Mailing Address
Dr. ALEXANDRIA CARLYLE DMD
2302 SLADE LN
MAHOMET, IL 61853-2796
Phone number: 808-457-2520
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