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Individual
DR. ALEXANDER KATSNELSON
Active
Individual
DR. ALEXANDER KATSNELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.027513
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021.002389
IL
Other
Enumeration date
11/15/2007
Last updated
08/01/2012
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