Individual
DR. JACOB KLENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7611 W COLFAX AVE UNIT D, LAKEWOOD, CO 80214-5424
(720) 412-6368
Mailing address
845 COVENTRY RIDGE RD, VILLA RIDGE, MO 63089-2434
(636) 234-4269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00206364
CO
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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