Individual
DR. IVANA HEINLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1223 S LAKE DR, LEXINGTON, SC 29073-6889
(803) 520-5580
Mailing address
1223 S LAKE DR, LEXINGTON, SC 29073-6889
(803) 520-5580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10405
SC
1223G0001X
General Practice Dentistry
22DI01822700
NJ
Other
Enumeration date
03/27/2007
Last updated
12/20/2024
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