Provider Demographics
NPI:1558610535
Name:KLEINER, AARON BRENT (DMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:BRENT
Last Name:KLEINER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5022 E COVINA ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-7232
Mailing Address - Country:US
Mailing Address - Phone:480-229-6695
Mailing Address - Fax:
Practice Address - Street 1:10621 N 35TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4260
Practice Address - Country:US
Practice Address - Phone:602-928-9040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD008572122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist