Individual
DR. WILLIAM J. HEIMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1526 W GLENDALE AVE STE 103, PHOENIX, AZ 85021-8576
(602) 864-1080
(602) 864-7036
Mailing address
1526 W GLENDALE AVE STE 103, PHOENIX, AZ 85021-8576
(602) 864-1080
(602) 864-7036
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2542
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PDN13HEIMWI1
—
AZ
Enumeration date
03/06/2007
Last updated
07/08/2007
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