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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
MRS. LORI WHITE (OFFICE MANAGER)
(630) 377-7077
Entity
Organization
Contact information
Practice address
2580 FOXFIELD RD STE 100, ST CHARLES, IL 60174-1411
(630) 377-7077
Mailing address
2580 FOXFIELD RD STE 100, ST CHARLES, IL 60174-1411
(630) 377-7077
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
11/05/2015
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