Tysen Klafke, L.D.

NPI #1710346200 in Ontario, Oregon

Provider Information

NPI Number: 1710346200
Entity Type: Individual
Name: Tysen Klafke, L.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Denturist
Credential: L.D.
Enumeration Date: Feb 12, 2016
Last Updated: Feb 12, 2016

Practice Location

Address: 975 SW 1ST AVE
City: Ontario
State: Oregon
ZIP Code: 97914-2112
Phone: (541) 889-3750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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