| Kloberdanz Oral Surgery And Dental Implants P.c. | |
|
2580 Foxfield Rd Ste 100 St Charles IL 60174-1411 | |
| (630) 377-7077 | |
| Not Available |
| Full Name | Kloberdanz Oral Surgery And Dental Implants P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2580 Foxfield Rd Ste 100, St Charles, Illinois |
| Authorized Official Name and Position | Lori White (OFFICE MANAGER) |
| 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. 2580 Foxfield Rd Ste 100 St Charles IL 60174-1411 Ph: (630) 377-7077 | Kloberdanz Oral Surgery And Dental Implants P.c. 2580 Foxfield Rd Ste 100 St Charles IL 60174-1411 Ph: (630) 377-7077 |
| NPI Number | 1811040298 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811040298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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