NPI | 1407581697 |
---|---|
Doing Business As | SAM KLEITCHES, DDS |
Entity Type | Organization |
Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-07-21 |
Last Update Date | 2022-07-21 |