Individual
DR. BRIAN KLOBERDANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1406 SYCAMORE RD STE D, DEKALB, IL 60115-2063
(815) 758-0633
Mailing address
1406 SYCAMORE RD STE D, DEKALB, IL 60115-2063
(815) 758-0633
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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