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NPI 1508030636

IndividualActive

Alexandra Leis, D.D.S.

NPI 1508030636 · General Practice Dentistry · Minneapolis, MN

Provider details

NPI number: 1508030636
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.D.S.
Sex: Female
Sole proprietor: No
License: D12608 (MN)

Practice location

1313 Penn Ave N

Minneapolis, MN 55411-3047

Phone: (612) 554-9119

More MN providers

Mailing address

1313 Penn Ave N

Minneapolis, MN 55411-3047

Registry dates

Enumerated: 2008-04-18
Last updated: 2015-09-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alexandra Leis, D.D.S. — NPI 1508030636, Minneapolis, MN | NPI Central