Individual
DR. RANDALL ALLEN KLEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13603 BARRETT OFFICE DRIVE, STE 104, ST LOUIS, MO 63021-7828
(314) 822-3868
(314) 822-1101
Mailing address
13603 BARRETT OFFICE DRIVE, STE 104, ST LOUIS, MO 63021-7828
(314) 822-3868
(314) 822-1101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12222
MO
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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