Individual
DR. MITCHELL A. KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5777 W MAPLE RD, SUITE 160, WEST BLOOMFIELD, MI 48322-2267
(248) 851-2980
(248) 851-2985
Mailing address
5777 W MAPLE RD, SUITE 160, WEST BLOOMFIELD, MI 48322-2267
(248) 851-2980
(248) 851-2985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011825
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382395043
PROVIDER TAX ID
MI
Enumeration date
06/03/2006
Last updated
05/06/2015
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