Individual
DR. JOSEPH R KLOCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2240 COLISEUM DR STE C, HAMPTON, VA 23666-5903
(757) 826-1121
(757) 826-1155
Mailing address
256 HUNTS NECK RD, POQUOSON, VA 23662-1016
(757) 868-6657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008337
VA
Other
Enumeration date
10/21/2006
Last updated
07/08/2007
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