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Organization
IRVING M BLAU DDS & RICHARD A KIRSCH DDS PC
Active
Organization
IRVING M BLAU DDS & RICHARD A KIRSCH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRVING M BLAU DDS (PARTNER)
(313) 278-4470
Entity
Organization
Contact information
Practice address
24415 W WARREN ST, DEARBORN HTS, MI 48127-2223
(313) 278-4470
(313) 278-0124
Mailing address
24415 W WARREN ST, DEARBORN HTS, MI 48127-2223
(313) 278-4470
(313) 278-0124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12216
MI
122300000X
Dentist
9971
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4006263
—
MI
05
—
4049912
—
MI
Enumeration date
12/01/2008
Last updated
12/01/2008
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