Individual
DR. PAUL ANTHONY KLODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
207 W STATE ST, JEFFERSON, IA 50129-1913
(515) 386-4128
(515) 386-8095
Mailing address
207 W STATE ST, JEFFERSON, IA 50129-1913
(515) 386-4128
(515) 386-8095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6542
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1500199
—
IA
Enumeration date
08/31/2006
Last updated
07/08/2007
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