Individual
DR. JONATHAN JERRY KLICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
324 E WISCONSIN AVE STE 1429, MILWAUKEE, WI 53202-4327
(414) 276-3454
Mailing address
324 E WISCONSIN AVE STE 1429, MILWAUKEE, WI 53202-4327
(414) 276-3454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0002953
WI
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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