Ellie Heydari, DDS

NPI #1518137652 in Bayfield, Wisconsin

Provider Information

NPI Number
1518137652
Entity Type
Individual
Name
Ellie Heydari, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 5, 2008
Last Updated
Feb 10, 2017

Practice Location

Address
36745 AIKEN RD.
Address 2
RED CLIFF COMMUNITY HEALTH CENTER
ZIP Code
54814
Phone
(715) 779-3707

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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