Individual
DR. EMMANUEL CHRISTIAN KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1010 E MCDOWELL RD STE LL3, PHOENIX, AZ 85006
(602) 256-0605
Mailing address
1010 E MCDOWELL RD STE LL3, PHOENIX, AZ 85006-2618
(602) 256-0605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
47923
CA
1223G0001X
General Practice Dentistry
Primary
6615
AZ
1223P0700X
Prosthodontics
47923
CA
1223P0700X
Prosthodontics
6615
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47923
STATE LICENSE
CA
Enumeration date
05/02/2007
Last updated
02/15/2019
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