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Individual

DR. HEATHER MARIE VAN WINKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
669 LANSON ST, BOHEMIA, NY 11716-3403
(631) 567-4584
(631) 567-3683
Mailing address
669 LANSON ST, BOHEMIA, NY 11716-3403
(631) 567-4584
(631) 567-3683

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048169
NY

Other

Enumeration date
03/29/2008
Last updated
03/29/2008
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