Individual
DR. THOMAS EDWIN KLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-5139
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-5139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5195
OK
1223P0300X
Periodontics
2640
WI
1223P0300X
Periodontics
Primary
5509
KS
Other
Enumeration date
09/15/2006
Last updated
07/16/2007
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