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NPI Code Detail

MEDICARE: NATHAN KLABUNDE

MEDICARE: NATHAN KLABUNDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist30.025971OH

General Provider Information

NPI Number : 1811545049
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN KLABUNDE
Provider Business Mailing Address
First Line : 1370 WINGATE DR
Second Line :
City : DELAWARE
State : OH
Zip : 43015-9200
Country : US
Telephone Number : 614-348-2909
Fax Number :
Provider Business Practice Location Address
First Line : 160 NORTHWOODS BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-4400
Country : US
Telephone Number : 614-848-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2019
Last Update Date : 08/30/2019

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Directions to “ NATHAN KLABUNDE ” Practice Location

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