Individual
ERIK KLINTMALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2403 LACY LN, CARROLLTON, TX 75006
(972) 869-3789
Mailing address
3808 MIRAMAR AVE, DALLAS, TX 75205-3126
(214) 415-9996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10882
TN
1223G0001X
General Practice Dentistry
Primary
34105
TX
1223G0001X
General Practice Dentistry
DEN.00203718
CO
Other
Enumeration date
06/12/2018
Last updated
09/05/2018
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