Individual
DR. MARVIN RONALD HEILIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
860 CORPORATE DR STE 101, LEXINGTON, KY 40503-5426
(859) 223-3826
(859) 223-1643
Mailing address
860 CORPORATE DR STE 101, LEXINGTON, KY 40503-5426
(859) 223-3826
(859) 223-1642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5192
KY
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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