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Individual
DR. ALEXANDER ROYZENBLAT
Active
Individual
DR. ALEXANDER ROYZENBLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028225
IL
122300000X
Dentist
4278
SC
122300000X
Dentist
49796
CA
1223E0200X
Endodontics
0401414365
VA
1223E0200X
Endodontics
Primary
6495-15
WI
1223G0001X
General Practice Dentistry
2901018211
MI
Other
Enumeration date
02/01/2006
Last updated
10/18/2014
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