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Individual
PATRICK VANDERHEI
Active
Individual
PATRICK VANDERHEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN012702
GA
1223P0700X
Prosthodontics
Primary
DN012702
GA
Other
Enumeration date
12/20/2006
Last updated
07/19/2012
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