Individual
DR. HEIDI MEDEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 NW 82ND AVE STE 101, PLANTATION, FL 33324-1834
(954) 358-4260
(954) 323-2600
Mailing address
17773 SW 152ND PL, MIAMI, FL 33187-7762
(305) 910-8644
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN22759
FL
Other
Enumeration date
07/13/2017
Last updated
08/18/2021
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