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Organization
ALBERT E. KLITZKE DDS INC
Active
Organization
ALBERT E. KLITZKE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT E KLITZKE IV DDS (PRESIDENT)
(619) 596-0144
Entity
Organization
Contact information
Practice address
8790 CUYAMACA ST STE E, SANTEE, CA 92071-4295
(619) 596-0144
(619) 596-9308
Mailing address
8790 CUYAMACA ST STE E, SANTEE, CA 92071-4295
(619) 596-0144
(619) 596-9308
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33433
CA DENTAL LICENSE
CA
Enumeration date
07/02/2019
Last updated
07/02/2019
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