Individual
DR. BASTIAN ANDRES ROJAS ESPINOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1507 N VETERANS PKWY STE 1, BLOOMINGTON, IL 61704-0916
(309) 664-6666
Mailing address
1507 N VETERANS PKWY STE 1, BLOOMINGTON, IL 61704-0916
(309) 664-6666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033929
IL
390200000X
Student in an Organized Health Care Education/Training Program
12836
CT
Other
Enumeration date
07/16/2020
Last updated
09/16/2022
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