Individual
HEATHER ANN GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
245 STERKLE BLVD, SUITE 101, MANSFIELD, OH 44907
(419) 522-5437
Mailing address
5607 BILNEY CT, MEDINA, OH 44256
(614) 284-6143
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
052017-1
NY
1223P0221X
Pediatric Dentistry
30-022729
OH
Other
Enumeration date
05/22/2007
Last updated
07/30/2008
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