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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