DR. John Dale Kloucek, DMD

NPI #1972598357 in Beaverton, Oregon

Provider Information

NPI Number
1972598357
Entity Type
Individual
Name
DR. John Dale Kloucek, DMD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Sep 13, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
4130 SW 100TH AVE
State
Oregon
ZIP Code
97005
Phone
(503) 626-0998

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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