Individual
MAX KEITH KLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2695 FLOWOOD DR STE A, FLOWOOD, MS 39232-9358
(601) 939-4100
Mailing address
2695 FLOWOOD DR STE A, FLOWOOD, MS 39232-9358
(601) 939-4100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
374614
MS
Other
Enumeration date
06/07/2014
Last updated
09/30/2020
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