Individual
DR. J MICHAEL HEIDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2026 NE 19TH ST, FORT LAUDERDALE, FL 33305-2509
(954) 566-5428
(954) 564-6043
Mailing address
2026 NE 19TH ST, FORT LAUDERDALE, FL 33305-2509
(954) 566-5428
(954) 564-6043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN00009225
FL
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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