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Individual

WILLIAM ADAM KLENK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

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
122300000X
Dentist
Primary
2864
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0132483000
WV
Enumeration date
12/16/2005
Last updated
10/11/2012
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