Individual
DR. GERALD C KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3815 S DATE ST, KENNEWICK, WA 99337-5840
(503) 504-2758
Mailing address
3815 S DATE ST, KENNEWICK, WA 99337-5840
(503) 504-2758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D4243
OR
1223G0001X
General Practice Dentistry
Primary
DE00010500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082706
OMAP
OR
Enumeration date
12/05/2006
Last updated
10/05/2008
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