Individual
DR. DAVID JOHN HEIDENREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7868 REA RD STE B, CHARLOTTE, NC 28277-6548
(402) 659-9729
Mailing address
1225 S CHURCH ST, APT 126, CHARLOTTE, NC 28203-4017
(402) 659-9729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2010018671
MO
122300000X
Dentist
6950
SC
122300000X
Dentist
Primary
9091
NC
Other
Enumeration date
06/29/2010
Last updated
10/24/2011
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