Ksenia Andronova, DDS

NPI 1801948443 · on the registry since 2007 · sole proprietor

Practice

Address: 275 N Phelps Ave
Rockford, IL 61108
Phone: (815) 484-8678
Fax: (815) 484-8680
Organisation at this address: Milestone, Inc.
Milestone Dental Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois