Individual
DR. NIKLAS FUQIANG HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1384 109TH AVE NE, SUITE 200, BLAINE, MN 55434-4542
(763) 757-6000
Mailing address
1384 109TH AVE NE, SUITE 200, BLAINE, MN 55434-4542
(763) 757-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13781
MN
Other
Enumeration date
06/02/2016
Last updated
03/08/2017
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