DR. Theresa Heaton, DMD

NPI #1285749291 in Leonard, Texas

Provider Information

NPI Number: 1285749291
Entity Type: Individual
Name: DR. Theresa Heaton, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 20, 2006
Last Updated: Jul 7, 2020

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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