# KLOBERDANZ ORAL SURGERY AND DENTAL IMPLANTS P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225181688
- **Authorized official:** MR. BRIAN KLOBERDANZ DDS (PRESIDENT)
- **Authorized official phone:** (630) 377-7077

## Contact information

- **Practice address:** 1406 SYCAMORE RD STE D, DEKALB, IL 60115-2063
- **Practice address phone:** (815) 758-0633
- **Mailing address:** 1406 D. SYCAMORE RD, DEKALB, IL 60115-2063
- **Mailing address phone:** (815) 758-0633
- **Mailing address fax:** (815) 758-2638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 12/11/2015