# KLOBERDANZ ORAL SURGERY AND DENTAL IMPLANTS P.C.

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

## Provider details

- **NPI number:** 1811040298
- **Authorized official:** MRS. LORI WHITE (OFFICE MANAGER)
- **Authorized official phone:** (630) 377-7077

## Contact information

- **Practice address:** 2580 FOXFIELD RD STE 100, ST CHARLES, IL 60174-1411
- **Practice address phone:** (630) 377-7077
- **Mailing address:** 2580 FOXFIELD RD STE 100, ST CHARLES, IL 60174-1411
- **Mailing address phone:** (630) 377-7077

## 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:** 11/05/2015