Individual
NATALIE RUTH HEAIVILIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 936-5950
Mailing address
3515 LARCHMONT DR, ANN ARBOR, MI 48105-2853
(913) 593-5842
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401416320
VA
1223G0001X
General Practice Dentistry
Primary
2901601122
MI
1223G0001X
General Practice Dentistry
63326
CA
Other
Enumeration date
01/31/2014
Last updated
11/09/2021
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