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Individual

DR. ALEXANDER KATSNELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
488 THORNDALE DR, BUFFALO GROVE, IL 60089-6700
(847) 902-9922
Mailing address
488 THORNDALE DR, BUFFALO GROVE, IL 60089-6700

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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