Most Relevant Information
Provider Data
| NPI Number: | 1003034984 |
| Provider Name: | KEVIN JOHN KLATTE DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | DS030955L |
Most Important Dates
| Enumeration Date: | 04/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6814 CASTOR AVE
PHILADELPHIA
PA
19149
Practice Location Phone/Fax
| Phone: | 2157459443 |
| Fax: | 2157459453 |
Provider Mailing Location
6814 CASTOR AVE
PHILA
PA
19149
Provider Mailing Phone/Fax
| Phone: | 2157459443 |
| Fax: | 2157459453 |