Organization
KLOBERDANZ ORAL SURGERY AND DENTAL IMPLANTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KLOBERDANZ DDS (PRESIDENT)
(630) 377-7077
Entity
Organization
Contact information
Practice address
1406 SYCAMORE RD STE D, DEKALB, IL 60115-2063
(815) 758-0633
Mailing address
1406 D. SYCAMORE RD, DEKALB, IL 60115-2063
(815) 758-0633
(815) 758-2638
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
12/11/2015
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