Individual
TRENTON DAVIDHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1253 W PRATT ST, BALTIMORE, MD 21223-2684
(410) 727-4746
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16992
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16992
STATE LICENSE
MD
Enumeration date
07/10/2020
Last updated
07/10/2020
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