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Individual
DR. ROBERT DONALD HEINE
Active
Individual
DR. ROBERT DONALD HEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5584
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5584
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
5584
KY
Other
Enumeration date
11/01/2006
Last updated
10/14/2015
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