| Kelly Klontz Dds,pllc | |
|
9721 S Pennsylvania Ave Oklahoma City OK 73159-6900 | |
| (405) 691-8100 | |
| Not Available |
| Full Name | Kelly Klontz Dds,pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9721 S Pennsylvania Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Kelly James Klontz (OWNER) |
| Authorized Official Contact | 4056918100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Klontz Dds,pllc 9721 S Pennsylvania Ave Oklahoma City OK 73159-6900 Ph: (405) 691-8100 | Kelly Klontz Dds,pllc 9721 S Pennsylvania Ave Oklahoma City OK 73159-6900 Ph: (405) 691-8100 |
| NPI Number | 1003290545 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 07/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003290545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4878 (Oklahoma) | Primary |
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