Individual
DR. TAYLOR M HEINLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5207 UNIVERSITY AVE NE, COLUMBIA HEIGHTS, MN 55421-1649
(763) 572-8040
Mailing address
5207 UNIVERSITY AVE NE, COLUMBIA HEIGHTS, MN 55421-1649
(763) 572-8040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14083
MN
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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