Provider Demographics
NPI:1164637757
Name:HEINZ J. KLEIN, D.M.D. & LINDA R. KONO, D.M.D., INC.
Entity Type:Organization
Organization Name:HEINZ J. KLEIN, D.M.D. & LINDA R. KONO, D.M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEINZ
Authorized Official - Middle Name:JURGEN
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:408-371-1313
Mailing Address - Street 1:2020 S BASCOM AVE
Mailing Address - Street 2:STE. 101
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-3269
Mailing Address - Country:US
Mailing Address - Phone:408-371-1313
Mailing Address - Fax:408-371-1817
Practice Address - Street 1:2020 S BASCOM AVE
Practice Address - Street 2:STE. 101
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-3269
Practice Address - Country:US
Practice Address - Phone:408-371-1313
Practice Address - Fax:408-371-1817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40637122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty