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Organization

BLOOMINGDALE DENTAL REZ, PC

Active
Other names
Minalt & Wojcicki Dental
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER REZNIKOV DDS (PRESIDENT)
(847) 877-3570
Entity
Organization

Contact information

Practice address
1 TIFFANY PT STE 209, BLOOMINGDALE, IL 60108-2916
(630) 671-0700
(630) 671-0546
Mailing address
1 TIFFANY PT STE 209, BLOOMINGDALE, IL 60108-2916
(630) 671-0700
(630) 671-0546

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029473
IL
1223P0300X
Periodontics
019023898
IL

Other

Enumeration date
03/01/2017
Last updated
03/01/2017
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