DR. Mark Allen Heiss, D.D.S.

NPI #1326314261 in Long Grove, Illinois

Provider Information

NPI Number: 1326314261
Entity Type: Individual
Name: DR. Mark Allen Heiss, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 26, 2012
Last Updated: Mar 26, 2012

Practice Location

Address: 5424 PROMONTORY DR.
City: Long Grove
State: Illinois
ZIP Code: 60047-5061
Phone: (708) 856-2710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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