Organization
HERBERT A. KLONTZ D.D.S. INC
Active
Organization
HERBERT A. KLONTZ D.D.S. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT ARVID KLONTZ D.D.S., M.S. (PRESIDENT ORTHODONTIST)
(405) 848-4809
Entity
Organization
Contact information
Practice address
3621 NW 63RD ST, OKLAHOMA CITY, OK 73116-2041
(405) 848-4809
(405) 848-4869
Mailing address
3621 NW 63RD ST, OKLAHOMA CITY, OK 73116-2041
(405) 848-4809
(405) 848-4869
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2895
OK
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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