Individual
DR. THOMAS HEIDENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3950 VETERANS DR STE 100, SAINT CLOUD, MN 56303-3424
(320) 252-3611
Mailing address
CENTRASOTA ORAL SURGEONS, 3950 VETERANS DRIVE, SUITE 100, ST. CLOUD, MN 56303
(320) 252-3611
(320) 252-7574
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S169
MN
Other
Enumeration date
08/12/2011
Last updated
11/24/2021
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