# DR. ALEXANDER ROYZENBLAT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588635072
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 019028225 | IL | — |
| 122300000X | Dentist | 4278 | SC | — |
| 122300000X | Dentist | 49796 | CA | — |
| 1223E0200X | Endodontics | 0401414365 | VA | — |
| 1223E0200X | Endodontics | 6495-15 | WI | Yes |
| 1223G0001X | General Practice Dentistry | 2901018211 | MI | — |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 10/18/2014