| Rodney J. Klima, Dds, Pc | |
|
5204b Lyngate Ct Burke VA 22015-1631 | |
| (703) 425-5125 | |
| (703) 425-6281 |
| Full Name | Rodney J. Klima, Dds, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5204b Lyngate Ct, Burke, Virginia |
| Authorized Official Name and Position | Rodney John Klima (PRESIDENT) |
| Authorized Official Contact | 7034255125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodney J. Klima, Dds, Pc 5204b Lyngate Ct Burke VA 22015-1631 Ph: (703) 425-5125 | Rodney J. Klima, Dds, Pc 5204b Lyngate Ct Burke VA 22015-1631 Ph: (703) 425-5125 |
| NPI Number | 1518395367 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518395367 | NPI | - | NPPES |
| 9178575 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401004660 (Virginia) | Primary |
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