Individual
DR. GRETCHEN HEINSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.,M.SC.D.
Contact information
Practice address
3037 E COMMERCIAL BLVD STE A, FORT LAUDERDALE, FL 33308-4311
(954) 667-6507
(954) 772-3663
Mailing address
3037 E COMMERCIAL BLVD STE A, FORT LAUDERDALE, FL 33308-4311
(954) 667-6507
(954) 772-3663
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN9861
FL
Other
Enumeration date
10/02/2006
Last updated
01/09/2018
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