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Dr. Bastian Andres Rojas Espinoza, DDS
General Practice Dentistry in Bloomington, Illinois
NPI 1780292680

Bastian Andres Rojas Espinoza is a General Practice Dentistry based in Bloomington, IL and is specialized in General Practice. Bastian Andres Rojas Espinoza practices in Bloomington, IL and has the professional credentials of DDS. The NPI Number for Bastian Andres Rojas Espinoza is 1780292680 and holds a License No. 12836 (Illinois).

The current practice location address for Bastian Andres Rojas Espinoza is 1507 N Veterans Pkwy Ste 1, Bloomington, IL and can be reached out via phone at 309-664-6666.

Location: 1507 N Veterans Pkwy Ste 1, Bloomington, IL, 61704-0916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780292680
Provider Name
Bastian Andres Rojas Espinoza
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1507 N Veterans Pkwy Ste 1, Bloomington, IL, 61704-0916
Phone Number
309-664-6666
Fax Number
Provider Enumeration Date
07/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1507 N Veterans Pkwy Ste 1
City
Bloomington
State
Illinois
Zip
61704-0916
Phone Number
309-664-6666
Fax Number
person
Provider Business Mailing Address Details
Address
1507 N Veterans Pkwy Ste 1
City
Bloomington
State
Illinois
Zip
61704-0916
Phone Number
309-664-6666
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.033929 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
12836 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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