Individual
MR. KEVIN JOHN KLATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6814 CASTOR AVE, PHILADELPHIA, PA 19149
(215) 745-9443
(215) 745-9453
Mailing address
6814 CASTOR AVE, PHILA, PA 19149
(215) 745-9443
(215) 745-9453
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS030955L
PA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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