Individual
DR. KENNETH DAVID KLIGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
113 TOWNE LAKE PKWY, SUITE 110, WOODSTOCK, GA 30188-4853
(770) 928-3055
(770) 928-1255
Mailing address
113 TOWNE LAKE PKWY, SUITE 110, WOODSTOCK, GA 30188-4853
(770) 928-3055
(770) 928-7591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9445
GA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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