| NPI | 1790078574 |
|---|---|
| Professional Name | ALEXANDER HEATRICE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MO 2020012236) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2022-10-17 |