Individual
ALEXIS CECELLA MARIE KLASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1717 CROGHAN ST, FREMONT, OH 43420-2758
(810) 623-2560
Mailing address
510 W MAIN ST, WOODVILLE, OH 43469-1014
(810) 623-2560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019361
MI
122300000X
Dentist
Primary
30-023383
OH
Other
Enumeration date
09/20/2006
Last updated
02/06/2012
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