Organization
OTTO K. KLANOW D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO KEVIN KLANOW D.D.S. M.S. (OWNER - PRESIDENT)
(586) 979-4700
Entity
Organization
Contact information
Practice address
38912 DEQUINDRE, STERLING HEIGHTS, MI 48310
(586) 979-4700
(586) 979-9452
Mailing address
38912 DEQUINDRE, STERLING HEIGHTS, MI 48310
(586) 979-4700
(586) 979-9452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901011910
MI
1223P0700X
Prosthodontics
Primary
2901011910
MI
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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