Organization · Type 2 NPI

Alexander Reznikov, Dds, PC

Dental Clinic/Center · Evergreen Park, IL

NPI number 1649860149 Active

Practice location

9825 S Pulaski Rd Ste 1
Evergreen Park, IL 60805-3385

Mailing address

1723 Wildberry Dr Unit A
Glenview, IL 60025-1794

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1649860149

Alexander Reznikov, Dds, PC's National Provider Identifier is 1649860149, issued on Jan 19, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Evergreen Park, IL. The record was last updated on Jan 19, 2021.