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Individual

DR. RICHARD FRANK HEILEMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
74 LONG VIEW DRIVE, MANCHESTER CENTER, VT 05254
(802) 362-1099
(802) 362-1901
Mailing address
74 LONG VIEW DRIVE, MANCHESTER, VT 05254
(802) 362-1099
(802) 362-1901

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00160000600
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001726
VT
Enumeration date
06/20/2013
Last updated
06/20/2013
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