Individual
MR. GREGORY HEIDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6950 SMOKE RANCH RD STE 150, LAS VEGAS, NV 89128-1301
(702) 304-1902
(702) 304-1909
Mailing address
6816 ROYAL POINCIANA CT, LAS VEGAS, NV 89131-1769
(702) 677-6270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4845
NV
Other
Enumeration date
09/16/2006
Last updated
08/18/2015
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