Individual
DR. CHAD LEE KLUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10635 FORT STREET, OMAHA, NE 68134
(402) 431-1780
(402) 963-0265
Mailing address
10635 FORT STREET, OMAHA, NE 68134
(402) 431-1780
(402) 963-0265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5253
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025165700
—
NE
05
—
1955336
—
IA
Enumeration date
12/13/2006
Last updated
07/08/2007
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