DR. Jon Allen Heezen, DDS

NPI #1013276252 in Tracy, Minnesota

Provider Information

NPI Number: 1013276252
Entity Type: Individual
Name: DR. Jon Allen Heezen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DDS
Enumeration Date: May 9, 2012
Last Updated: May 9, 2012

Practice Location

Address: 212 3RD ST
City: Tracy
State: Minnesota
ZIP Code: 56175-1214
Phone: (605) 530-5031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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