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HEITZMANN DENTISTRY

Pediatric Dentistry

Ridgeland, Mississippi

Provider NPI: 1275836447

Organization Information:
Organization Name:  HEITZMANN DENTISTRY
Organization is not Subpart
Authorized Official:  CASEY BRIAN HEITZMANN  DENTIST  601-7075585

Practice Location:
207 W JACKSON ST STE B  RIDGELAND, MS 39157 US
Tel: 601-707-5585  Fax: 601-707-5586

Business Mailing Address:
207 W JACKSON ST STE B  RIDGELAND, MS 39157 US
Tel: 601-707-5585  Fax: 601-707-5586

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223P0221XDental Providers
Dentist
Pediatric Dentistry
MS349108
Y122300000XDental Providers
Dentist
MS355510





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