Individual
DR. TODD KLEINRICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
210 W WHITLEY ST, CHURUBUSCO, IN 46723-1720
(260) 693-9300
Mailing address
210 W WHITLEY ST, CHURUBUSCO, IN 46723-1720
(260) 693-9300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010006A
IN
1223G0001X
General Practice Dentistry
12010006A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-5845403
DENTIST
IN
Enumeration date
04/03/2007
Last updated
03/17/2018
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