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Individual

DR. PAUL WILLIAM KLOOSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DDS

Contact information

Practice address
830 PENNSYLVANIA AVE, SUITE 302, CHARLESTON, WV 25302-3302
(304) 388-2950
(304) 388-2951
Mailing address
830 PENNSYLVANIA AVE 302, CHARLESTON, WV 25302-3390
(304) 388-2950
(304) 388-2951

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
26313
WV

Other

Enumeration date
06/01/2007
Last updated
09/19/2023
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