Individual
DAVID KLUCZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5564 INDIAN RIVER ROAD, VIRGINIA BEACH, VA 23464
(757) 366-5084
Mailing address
145 SAINT ANDREWS RD, MOYOCK, NC 27958-9363
(252) 455-0492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041415209
VA
1223G0001X
General Practice Dentistry
10373
NC
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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