Kelly Klontz DDS,pllc
Dentist, Orthodontics and Dentofacial Orthopedics in Oklahoma City, OK. Organization (NPI-2).
NPI number1003290545
StatusActive
Last updated in NPPESJul 15, 2015
Details
- NPI
- 1003290545
- Entity type
- Organization (NPI-2)
- Legal business name
- Kelly Klontz DDS,pllc
- Organization subpart
- No
- Enumeration date
- Jul 15, 2015
- Last updated
- Jul 15, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 4878 | OK | Yes |
Practice location
9721 S Pennsylvania AveOklahoma City, OK 73159-6900
Phone 405-691-8100
Mailing address
9721 S Pennsylvania AveOklahoma City, OK 73159-6900
Phone 405-691-8100
Authorized official
Kelly James Klontz
Owner
4056918100
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All 56 Orthodontics and Dentofacial Orthopedics Dentistry providers in Oklahoma City · All 27,799 providers in Oklahoma City
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