Individual
ALYSSA KLUGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT, LDH
Contact information
Practice address
327 WESTERN AVE STE A, FERGUS FALLS, MN 56537-2403
(218) 998-2218
Mailing address
327 WESTERN AVE STE A, FERGUS FALLS, MN 56537-2403
(218) 998-2218
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H9901
MN
125J00000X
Dental Therapist
Primary
DT133
MN
Other
Enumeration date
06/17/2020
Last updated
07/17/2023
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