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Individual
DR. GARY DAVID KLASSER
Active
Individual
DR. GARY DAVID KLASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
P129
LA
1223G0001X
General Practice Dentistry
136000100
IL
Other
Enumeration date
05/27/2006
Last updated
04/12/2012
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