Individual
HEIDI TRAUTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1069 GREEN ACRES MALL, VALLEY STREAM, NY 11581-1531
(516) 568-2022
Mailing address
1069 GREEN ACRES MALL, VALLEY STREAM, NY 11581-1531
(516) 568-2022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045631
NY
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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