Individual
EMILY HEATWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
32300 SCHOOLCRAFT RD, LIVONIA, MI 48150-4308
(734) 261-7555
Mailing address
3500 E JEFFERSON AVE APT 423, DETROIT, MI 48207-4470
(810) 588-7217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601875
MI
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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