Organization · NPI-2
Antoni Kledaras DDS PA
Dentist · Wilmington, DE
NPI number1295940302
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1295940302
- Entity type
- Organization (NPI-2)
- Legal business name
- Antoni Kledaras DDS PA
- Organization subpart
- No
- Enumeration date
- May 11, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | G10000932 | DE | Yes |
Practice location
249 Philadelphia PikeWilmington, DE 19809-3109
Phone 302-762-2185 · Fax 302-762-2186
Mailing address
249 Philadelphia PikeWilmington, DE 19809-3109
Phone 302-762-2185 · Fax 302-762-2186
Authorized official
Antoni William Kledaras
President
3027622185
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