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Organization
KLOBERDANZ ORAL SURGERY AND DENTAL IMPLANTS P.C.
Active
Organization
KLOBERDANZ ORAL SURGERY AND DENTAL IMPLANTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KLOBERDANZ DDS (PRESIDENT)
(630) 377-7077
Entity
Organization
Contact information
Practice address
1406 SYCAMORE RD STE D, DEKALB, IL 60115-2063
(815) 758-0633
Mailing address
1406 D. SYCAMORE RD, DEKALB, IL 60115-2063
(815) 758-0633
(815) 758-2638
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
12/11/2015
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