Individual
DR. HEATHER BAUMWOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
470 CLIFTON AVE, CLIFTON, NJ 07011-3262
(973) 546-6977
(973) 253-8637
Mailing address
470 CLIFTON AVE, CLIFTON, NJ 07011-3262
(973) 546-6977
(973) 253-8637
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02438700
NJ
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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