| Ryan W. Klohr, Dmd, Llc | |
|
34 Gravois Sta House Springs MO 63051-4348 | |
| (636) 671-0110 | |
| (636) 671-0332 |
| Full Name | Ryan W. Klohr, Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 34 Gravois Sta, House Springs, Missouri |
| Authorized Official Name and Position | Ryan W Klohr (OWNER/DENTIST) |
| Authorized Official Contact | 6366710110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan W. Klohr, Dmd, Llc 34 Gravois Sta House Springs MO 63051-4348 Ph: (636) 671-0110 | Ryan W. Klohr, Dmd, Llc 34 Gravois Sta House Springs MO 63051-4348 Ph: (636) 671-0110 |
| NPI Number | 1902379571 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 01/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902379571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Bruce H. Collignon D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7214 Executive Pkwy, House Springs, MO 63051 Phone: 636-671-0102 Fax: 636-671-1575 |