Organization
ERICH HEIDENREICH, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICH HEIDENREICH D.D.S. (OWNER/OPERATOR)
(269) 781-4600
Entity
Organization
Contact information
Practice address
128 W MICHIGAN AVE, MARSHALL, MI 49068-1522
(269) 781-4600
Mailing address
128 W MICHIGAN AVE, MARSHALL, MI 49068-1522
(269) 781-4600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015037
MI
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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