Individual
DR. THOMAS L.EWIS KLECHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
943 CESERY BLVD, BLDG E, JACKSONVILLE, FL 32211-5635
(904) 743-1100
Mailing address
943 CESERY BLVD, BLDG E, JACKSONVILLE, FL 32211-5635
(904) 743-1100
(904) 743-1173
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN5229
FL
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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