Kleitz, Randall Allen

Kleitz, Randall Allen is an individual health care provider with primary practice located at 13603 Barrett Office Drive Ste 104, St Louis MO 63021-7828. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kleitz, Randall Allen can be contacted via phone (314) 822-3868.

Contact Information

Primary practice address
13603 Barrett Office Drive Ste 104 St Louis MO 63021-7828
Phone: (314) 822-3868
Fax: (314) 822-1101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12222 Missouri

Profile Details

NPI number 1104978378
LBN Legal business name Kleitz, Randall Allen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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