Individual
DR. JACK J KLAUSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21 BAY STATE ROAD, BOSTON, MA 02215
(617) 247-9966
(617) 266-0679
Mailing address
21 BAY STATE ROAD, BOSTON, MA 02215
(617) 247-9966
(617) 266-0679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14638
MA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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