Individual
DR. ALEXANDER ROYZENBLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1721 ADMIRAL TAUSSIG BLVD, SEWELL'S POINT BRANCH MEDICAL CLINIC, NORFOLK, VA 23511-2802
(760) 613-3917
Mailing address
903 HENPHIL FARMS CT, CHESAPEAKE, VA 23320-8199
(760) 613-3917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028225
IL
122300000X
Dentist
4278
SC
122300000X
Dentist
49796
CA
1223E0200X
Endodontics
0401414365
VA
1223E0200X
Endodontics
Primary
6495-15
WI
1223G0001X
General Practice Dentistry
2901018211
MI
Other
Enumeration date
02/01/2006
Last updated
10/18/2014
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