| Kloberdanz Oral Surgery And Dental Implants P.c. | |
|
1406 Sycamore Rd Ste D Dekalb IL 60115-2063 | |
| (815) 758-0633 | |
| Not Available |
| Full Name | Kloberdanz Oral Surgery And Dental Implants P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1406 Sycamore Rd Ste D, Dekalb, Illinois |
| Authorized Official Name and Position | Brian Kloberdanz (PRESIDENT) |
| Authorized Official Contact | 6303777077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kloberdanz Oral Surgery And Dental Implants P.c. 1406 D. Sycamore Rd Dekalb IL 60115-2063 Ph: (815) 758-0633 | Kloberdanz Oral Surgery And Dental Implants P.c. 1406 Sycamore Rd Ste D Dekalb IL 60115-2063 Ph: (815) 758-0633 |
| NPI Number | 1225181688 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 12/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225181688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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