# IRVING M BLAU DDS & RICHARD A KIRSCH DDS PC

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

## Provider details

- **NPI number:** 1689829913
- **Authorized official:** DR. IRVING M BLAU DDS (PARTNER)
- **Authorized official phone:** (313) 278-4470

## Contact information

- **Practice address:** 24415 W WARREN ST, DEARBORN HTS, MI 48127-2223
- **Practice address phone:** (313) 278-4470
- **Practice address fax:** (313) 278-0124
- **Mailing address:** 24415 W WARREN ST, DEARBORN HTS, MI 48127-2223
- **Mailing address phone:** (313) 278-4470
- **Mailing address fax:** (313) 278-0124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12216 | MI | Yes |
| 122300000X | Dentist | 9971 | MI | — |

## Other

- **Enumeration date:** 12/01/2008
- **Last updated:** 12/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4006263 | — | MI |
| 05 | — | 4049912 | — | MI |