Most Relevant Information
Provider Data
| NPI Number: | 1003652744 |
| Provider Name: | TY KLEIN DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | D15143 |
Most Important Dates
| Enumeration Date: | 07/02/2024 |
| Last Updated: | 07/02/2024 |
Provider Practice Location
4021 BENJAMIN DR
WOODBURY
MN
551292278
Practice Location Phone/Fax
| Phone: | 6513771066 |
| Fax: |
Provider Mailing Location
3625 E 43RD ST APT 215
MINNEAPOLIS
MN
554064251
Provider Mailing Phone/Fax
| Phone: | 2182895475 |
| Fax: |