Individual
DR. DENNIS GARY KLEBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19119 ROCKVILLE PIKE, ROCKVILLE, MD 20852
(301) 770-7007
Mailing address
9804 CLYDESDALE ST, POTOMAC, MD 20854-4708
(301) 299-4763
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D15340
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5691001
—
MD
Enumeration date
07/13/2006
Last updated
07/08/2007
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