Individual
DR. ALEKSANDRA KOMOGORTSEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1934 THOMSON DR, LYNCHBURG, VA 24501-1028
(540) 315-3725
Mailing address
167 W 129TH ST APT 4C, NEW YORK, NY 10027-2105
(347) 339-1848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019033985
IL
1223G0001X
General Practice Dentistry
Primary
0401418174
VA
Other
Enumeration date
06/15/2020
Last updated
08/30/2024
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