Individual
CHRISTOPHER GORDON KLABO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
25477 MAIN ST, NISSWA, MN 56468-5001
(189) 636-3302
Mailing address
25477 MAIN ST, NISSWA, MN 56468-5001
(218) 963-6330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6976-15
WI
122300000X
Dentist
Primary
D13771
MN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/04/2012
Last updated
08/17/2020
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