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Organization
PETER S. KLEM, OD
Active
Organization
PETER S. KLEM, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER SHERMAN KLEM OD (OWNER)
29166520449
Entity
Organization
Contact information
Practice address
3493 TAYLOR RD, LOOMIS, CA 95650
(916) 652-0449
(916) 660-9156
Mailing address
PO BOX 508, LOOMIS, CA 95650-0508
(916) 652-0449
(916) 660-9156
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6478T
CA
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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