Theresa Heaton Dmd Pllc

NPI #1194312637 in Leonard, Texas

Provider Information

NPI Number: 1194312637
Entity Type: Organization
Organization Name: Theresa Heaton Dmd Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 30, 2020
Last Updated: Jul 5, 2021

Practice Location

Address: 570 S US HIGHWAY 69
City: Leonard
State: Texas
ZIP Code: 75452-2731
Phone: (903) 650-8005

Authorized Official

Name: DR. THERESA HEATON, DMD
Title: OWNER/DENTIST
Phone: (903) 650-8005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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