Organization
DR DAVID R HEIDENREICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROBERT HEIDENREICH DDS (MEMBER)
(269) 781-7997
Entity
Organization
Contact information
Practice address
105 E GREEN ST, MARSHALL, MI 49068-1532
(269) 781-7997
Mailing address
105 E GREEN ST, MARSHALL, MI 49068-1532
(269) 781-7997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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