Individual
JOSHUA RYAN HEIMERDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, FAGD
Contact information
Practice address
880 37TH PL STE 101, VERO BEACH, FL 32960-6597
(772) 569-4424
Mailing address
UNIVERSITY OF WASHINGTON DEPT OFORAL, 1959 NE PACIFIC STREET BOX 357154, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN2890
FL
122300000X
Dentist
DR60555133
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2015
Last updated
07/01/2024
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