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Individual

EUGENE M HEAVLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1550 OPELIKA RD, SUITE 6-167, AUBURN, AL 36830-7618
(334) 466-9970
Mailing address
1550 OPELIKA ROAD, SUITE 6-167, AUBURN, AL 36830
(334) 466-9970

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4096
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4096
ALABAMA LICENSE NUMBER
AL
Enumeration date
09/14/2006
Last updated
01/26/2017
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