Heritage Dental LLC

NPI #1154574846 in Waverly, Iowa

Provider Information

NPI Number
1154574846
Entity Type
Organization
Organization Name
Heritage Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 28, 2008
Last Updated
Jul 6, 2009

Practice Location

Address
1400 10TH AVE SW
State
Iowa
ZIP Code
50677-3752
Phone
(319) 352-5222

Authorized Official

Name
JAMES MICHAEL MAIXNER, DDS
Title
MANAGER
Phone
(319) 352-5222

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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