NPI 1396389144

Aleksis Desrosier

Practitioner Dental Assistant Longview, WA

Practice location

Address: 1230 7th Ave, Longview, WA 98632
Phone: (360) 575-4801
Mailing address: 1230 7th Ave, Longview, WA 98632-3166

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence D160453889 (WA)

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Registry record

NPI: 1396389144
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2019
Record last updated: 5 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.