Provider Demographics
NPI:1346853702
Name:KIRSCH AND BLAU DDS
Entity Type:Organization
Organization Name:KIRSCH AND BLAU DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECEPTIONIST
Authorized Official - Prefix:
Authorized Official - First Name:CHALEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-278-4470
Mailing Address - Street 1:7317 MEADOWLAKE HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3613
Mailing Address - Country:US
Mailing Address - Phone:248-514-0949
Mailing Address - Fax:313-278-0124
Practice Address - Street 1:7317 MEADOWLAKE HILLS DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-3613
Practice Address - Country:US
Practice Address - Phone:248-514-0949
Practice Address - Fax:313-278-0124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty