KSENIA ANDRONOVA

ROCKFORD, IL
NPI1801948443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019026623)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
Dr. KSENIA ANDRONOVA DDS
275 N PHELPS AVE
ROCKFORD, IL 61108-2434
Phone number: 815-484-8678
Mailing Address
Dr. KSENIA ANDRONOVA DDS
5047 LINDEN RD APT 6311
ROCKFORD, IL 61109-5866
Phone number: 815-874-1509