# ERIK KLINTMALM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508359761
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10882 | TN | — |
| 1223G0001X | General Practice Dentistry | 34105 | TX | Yes |
| 1223G0001X | General Practice Dentistry | DEN.00203718 | CO | — |

## Other

- **Enumeration date:** 06/12/2018
- **Last updated:** 09/05/2018
