Individual
DR. THOMAS EUGENE HEINRICHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
305 E BROADWAY ST, BOLIVAR, MO 65613-1625
(417) 326-4113
Mailing address
305 E BROADWAY ST, BOLIVAR, MO 65613-1625
(417) 326-4113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020031835
MO
1223G0001X
General Practice Dentistry
DW36082
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2022
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