Efaw, David

Efaw, David is an individual health care provider with primary practice located at 109 N Regency Dr , Bloomington IL 61701-3515. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Efaw, David can be contacted via phone (309) 663-2526.

Contact Information

Primary practice address
109 N Regency Dr Bloomington IL 61701-3515
Phone: (309) 663-2526
Fax: (309) 663-4788
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 019023548 Illinois

Profile Details

NPI number 1700862877
LBN Legal business name Efaw, David
Credentials MD, DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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