| NPI | 1831297431 |
|---|---|
| Other Name | ALEXIS CECELIA MARIE KLASSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30-023383) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901019361) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-02-06 |