Individual
DR. DIANE BAVER HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
101 S BEDFORD RD, SUITE 410, MOUNT KISCO, NY 10549-3439
(914) 241-1177
Mailing address
750 KAPPOCK ST, APT 711, BRONX, NY 10463-4612
(718) 796-6728
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
008144
CT
1223E0200X
Endodontics
Primary
041847-1
NY
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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