JOHN DALE KLOUCEK

BEAVERTON, OR
NPI1972598357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D6358)
Enumeration Date2005-09-13
Last Update Date2007-07-08
Business Address
Dr. JOHN DALE KLOUCEK DMD
4130 SW 100TH AVE
BEAVERTON, OR 97005
Phone number: 503-626-0998
Mailing Address
Dr. JOHN DALE KLOUCEK DMD
PO BOX 1757
BEAVERTON, OR 97075-1757
Phone number: 503-626-0998
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