Individual
MRS. AMY L HEINLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
111 ARBOR AVE, SUGAR GROVE, IL 60554-5403
(309) 236-1586
Mailing address
111 ARBOR AVE, SUGAR GROVE, IL 60554-5403
(309) 236-1586
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020005855
IL
Other
Enumeration date
03/26/2014
Last updated
06/09/2015
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