| NPI | 1477985927 |
|---|---|
| Former Name | CASSANDRA LEE KRETCHMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D12892) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |