# KEIKO KIKUCHI DE BELTRAN DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265596415
- **Authorized official:** KEIKO KIKUCHI DE BELTRAN DDS (CEO)
- **Authorized official phone:** (248) 767-7117

## Contact information

- **Practice address:** 21580 NOVI RD, SUITE 100, NOVI, MI 48375
- **Practice address phone:** (248) 767-7117
- **Practice address fax:** (248) 692-0644
- **Mailing address:** 21580 NOVI RD, SUITE 100, NOVI, MI 48375
- **Mailing address phone:** (248) 767-7117
- **Mailing address fax:** (248) 692-0644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901017962 | MI | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 08/22/2020