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Individual
MADISON K HEINE
Active
Individual
MADISON K HEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11014
KY
1223G0001X
General Practice Dentistry
12013707
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/14/2020
Last updated
02/12/2025
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