Individual
MS. HEIDI F. WIDOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, LMT, COM
Contact information
Practice address
1521 NW 19TH TER APT 101, DELRAY BEACH, FL 33445-1406
(818) 307-8518
Mailing address
1521 NW 19TH TER APT 101, DELRAY BEACH, FL 33445-1406
(818) 307-8518
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
21147
CA
124Q00000X
Dental Hygienist
DH25120
FL
225700000X
Massage Therapist
Primary
MA94167
FL
Other
Enumeration date
05/03/2007
Last updated
08/20/2020
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