| Albert E. Klitzke Dds Inc | |
|
8790 Cuyamaca St Ste E Santee CA 92071-4295 | |
| (619) 596-0144 | |
| (619) 596-9308 |
| Full Name | Albert E. Klitzke Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8790 Cuyamaca St Ste E, Santee, California |
| Authorized Official Name and Position | Albert E Klitzke (PRESIDENT) |
| Authorized Official Contact | 6195960144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert E. Klitzke Dds Inc 8790 Cuyamaca St Ste E Santee CA 92071-4295 Ph: (619) 596-0144 | Albert E. Klitzke Dds Inc 8790 Cuyamaca St Ste E Santee CA 92071-4295 Ph: (619) 596-0144 |
| NPI Number | 1396307187 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396307187 | NPI | - | NPPES |
| 33433 | Other | CA | CA DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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