Individual
DR. JAMES F HEIDENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4701 W INDIAN SCHOOL RD, PHOENIX, AZ 85031-2719
(623) 245-8461
(623) 247-0444
Mailing address
4701 W INDIAN SCHOOL RD, PHOENIX, AZ 85031-2719
(623) 245-8461
(623) 247-0444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D008182
AZ
1223P0221X
Pediatric Dentistry
Primary
D008182
AZ
Other
Enumeration date
08/04/2011
Last updated
07/01/2014
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