Individual
DR. HEIDI J KRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1001 CHESTNUT HILLS PKWY, SUITE 5, FORT WAYNE, IN 46814-8933
(260) 625-5100
(260) 625-5021
Mailing address
1001 CHESTNUT HILLS PKWY, SUITE 5, FORT WAYNE, IN 46814-8933
(260) 625-5100
(260) 625-5021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010262A
IN
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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