Individual
DR. DAVID RAYMOND HEIDELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30 EXECUTIVE DR, NORWALK, OH 44857-2480
(419) 668-6589
(419) 663-4601
Mailing address
4 VICTORIA CIR, NORWALK, OH 44857-1656
(419) 663-7515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17794
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0633747
—
OH
Enumeration date
09/20/2006
Last updated
03/12/2014
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