| Irving M Blau Dds & Richard A Kirsch Dds Pc | |
|
24415 W Warren St Dearborn Hts MI 48127-2223 | |
| (313) 278-4470 | |
| (313) 278-0124 |
| Full Name | Irving M Blau Dds & Richard A Kirsch Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 24415 W Warren St, Dearborn Hts, Michigan |
| Authorized Official Name and Position | Irving M Blau (PARTNER) |
| Authorized Official Contact | 3132784470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irving M Blau Dds & Richard A Kirsch Dds Pc 24415 W Warren St Dearborn Hts MI 48127-2223 Ph: (313) 278-4470 | Irving M Blau Dds & Richard A Kirsch Dds Pc 24415 W Warren St Dearborn Hts MI 48127-2223 Ph: (313) 278-4470 |
| NPI Number | 1689829913 |
|---|---|
| Provider Enumeration Date | 12/01/2008 |
| Last Update Date | 12/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689829913 | NPI | - | NPPES |
| 4049912 | Medicaid | MI | |
| 4006263 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9971 (Michigan) | Secondary |
| 122300000X | Dentist | 12216 (Michigan) | Primary |
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