Jonathan Ray Heizer DDS

NPI 1649471855 - Dentist - 1223G0001X

NPI Details
NPI 1649471855
Gender Male
Enumeration Date 05/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
915 W PEARL ST
GRANBURY TX, 76048-2051, US
Phone (817) 573-3724
Fax (817) 573-9251
Business Location
915 W PEARL ST
GRANBURY TX, 76048-2051, US
Phone (817) 573-3724
Fax (817) 573-9251
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 21719
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According to our database, Dr. Jonathan Ray Heizer DDS NPI is 1649471855, taxonomy code is 1223G0001X and license number is 21719, license state is located at Texas. Jonathan Ray Heizer DDS physically located at 915 W Pearl St, Granbury TX, 76048-2051. NPI Number Jonathan Ray Heizer DDS has the Individual type.

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1649471855 NPI number is provided on an as is basis without warranty of any kind. 1649471855 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Ray Heizer DDS are for informational purposes only.