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Organization
ALEXANDER REZNIKOV, DDS, PC
Active
Organization
ALEXANDER REZNIKOV, DDS, PC
Active
Other names
John Brendich Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER REZNIKOV DDS (PRESIDENT)
(312) 588-0043
Entity
Organization
Contact information
Practice address
9825 S PULASKI RD STE 1, EVERGREEN PARK, IL 60805-3385
(708) 424-1400
Mailing address
1723 WILDBERRY DR UNIT A, GLENVIEW, IL 60025-1794
(847) 877-3570
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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