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Organization

DR. DAVID M. HEYDENREICH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID MAX HEYDENREICH D.M.D. (DENTIST)
(802) 463-3187
Entity
Organization

Contact information

Practice address
192 ROCKINGHAM ST, BELLOWS FALLS, VT 05101-1349
(802) 463-3187
(802) 463-4021
Mailing address
192 ROCKINGHAM ST, BELLOWS FALLS, VT 05101-1349
(802) 463-3187
(802) 463-4021

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2174
VT

Other

Enumeration date
01/31/2008
Last updated
01/31/2008
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