Provider Demographics
NPI:1962078212
Name:YUNATAN KLEIN, LAURA ANTONIA (DMD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANTONIA
Last Name:YUNATAN KLEIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:5413 WEAVER ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-3335
Mailing Address - Country:US
Mailing Address - Phone:770-778-8815
Mailing Address - Fax:
Practice Address - Street 1:5413 WEAVER ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37412-3335
Practice Address - Country:US
Practice Address - Phone:770-778-8815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN123121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics