Individual
DR. JEFFREY IRA KLIOZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9607 PEMBERLY LN, FAIRFAX STATION, VA 22039-3234
(703) 493-8488
Mailing address
9607 PEMBERLY LN, FAIRFAX STATION, VA 22039-3234
(703) 493-8488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007694
VA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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