Individual
DAVID ROBERT HEIDENRIECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 E GREEN ST, MARSHALL, MI 49068-1532
(269) 781-7997
(269) 781-4484
Mailing address
105 E GREEN ST, MARSHALL, MI 49068-1532
(269) 781-7997
(269) 781-4484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16077
MI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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