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Individual

CLAYTON KLINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
255 W 64TH ST, LOVELAND, CO 80538-1197
(970) 635-4455
Mailing address
255 W 64TH ST, LOVELAND, CO 80538-1197

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00201992
CO

Other

Enumeration date
05/31/2013
Last updated
05/31/2013
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