Individual provider · Type 1 NPI

Ksenia Andronova, DDS

General Practice Dentistry · Rockford, IL

NPI number 1801948443 Active

Practice location

275 N Phelps Ave
Rockford, IL 61108-2434

Fax (815) 484-8680

Mailing address

5047 Linden Rd Apt 6311
Rockford, IL 61109-5866

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

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About NPI 1801948443

Ksenia Andronova, DDS's National Provider Identifier is 1801948443, issued on Jan 16, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.