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Provider Information for 1265416069

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DR. BARBARA V LEWIS HEYWOOD DMD

Gender: FEMALE

Individual NPI: 1265416069

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1265416069
Enumeration Date 2005-12-05
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 5721 4TH ST NW PERFECT TEETH FOURTH STREET PC
ALBUQUERQUE, NM 87107-5302
United States

Phone: 505-345-0515 | Fax: 505-345-2418
View Map External Link
Primary Practice Address 5721 4TH ST NW PERFECT TEETH FOURTH STREET PC
ALBUQUERQUE, NM 87107-5302
United States

Phone: 505-345-0515 | Fax: 505-345-2418
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NM DD2682