Individual
EMILY W HEIMBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4901 N TRYON ST, CHARLOTTE, NC 28213-7076
(704) 921-0204
Mailing address
4901 N TRYON ST, CHARLOTTE, NC 28213-7076
(704) 921-0204
(803) 226-9247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11220
NC
122300000X
Dentist
8974
SC
Other
Enumeration date
07/11/2017
Last updated
10/12/2021
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