Kloucek, John Dale
Kloucek, John Dale is an individual health care provider with primary practice located at 4130 Sw 100Th Ave , Beaverton OR 97005. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kloucek, John Dale can be contacted via phone (503) 626-0998.Contact Information
Primary practice address
4130 Sw 100Th Ave
Beaverton OR 97005
Phone: (503) 626-0998
Fax: (503) 626-0988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D6358 | Oregon |
Profile Details
| NPI number | 1972598357 |
|---|---|
| LBN Legal business name | Kloucek, John Dale |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Griffiths, William L
8285 Sw Nimbus Ave #185, Beaverton OR 97008-6447 -
Williams, John R.
11673 Sw Beaverton Hillsdale Hwy , Beaverton OR 97005-2928 -
Nguyen, Thao
12751 Sw 2Nd St , Beaverton OR 97005-2708 -
Wismer, Ronald David
14125 Sw Farmington Rd , Beaverton OR 97005-2567 -
Lee, Hyun Min
10029 Sw Nimbus Ave , Beaverton OR 97008-7110 -
Van, Kyle H.
16755 Sw Baseline Rd , Beaverton OR 97006-4241 -
Hoversland, Gordon Roy
4350 Sw Cedar Hills Blvd , Beaverton OR 97005-2013 -
Truszkowski, Thomas J.
11673 Sw Beaverton Hillsdale Hwy , Beaverton OR 97005-2928