| NPI | 1255548772 |
|---|---|
| Doing Business As | HEIDEN DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | LAURENCE NEIL HEIDEN Owner 843-662-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-23 |