Organization
WILLIAM A. KLENK DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ADAM KLENK DDS (PRESIDENT)
(304) 658-5282
Entity
Organization
Contact information
Practice address
26496 MIDLAND TRAIL, HICO, WV 25854-0497
(304) 658-5282
(304) 658-5299
Mailing address
PO BOX 497, 26496 MIDLAND TRAIL, HICO, WV 25854-0497
(304) 658-5282
(304) 658-5299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV 2864
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132483000
—
WV
Enumeration date
10/08/2008
Last updated
10/08/2008
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