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Dr. Aleksandra Komogortseva, DMD
General Practice Dentistry in Bloomington, Illinois
NPI 1013532100

Aleksandra Komogortseva is a General Practice Dentistry based in Brooklyn, IL and is specialized in General Practice. Aleksandra Komogortseva practices in Bloomington, IL and has the professional credentials of DMD. The NPI Number for Aleksandra Komogortseva is 1013532100 and holds a License No. 0401418174 (Illinois).

The current practice location address for Aleksandra Komogortseva is 1407 N Veterans Pkwy Ste 12, Bloomington, IL and can be reached out via phone at 309-233-3922.

Location: 1407 N Veterans Pkwy Ste 12, Bloomington, IL, 11230-4926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013532100
Provider Name
Aleksandra Komogortseva
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1407 N Veterans Pkwy Ste 12, Bloomington, IL, 11230-4926
Phone Number
309-233-3922
Fax Number
Provider Enumeration Date
06/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1407 N Veterans Pkwy Ste 12
City
Bloomington
State
Illinois
Zip
61704-6425
Phone Number
309-233-3922
Fax Number
person
Provider Business Mailing Address Details
Address
1407 N Veterans Pkwy Ste 12
City
Bloomington
State
Illinois
Zip
61704-6425
Phone Number
309-233-3922
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401418174 (Virginia)
Definition
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.
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