Prairie Lakes Family Dentistry
NPI #1780453589 in Tracy, Minnesota
Provider Information
- NPI Number
- 1780453589
- Entity Type
- Organization
- Organization Name
- Prairie Lakes Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 21, 2023
- Last Updated
- Dec 21, 2023
Practice Location
Authorized Official
- Name
- JON HEEZEN, DDS
- Title
- OWNER/DENTIST
- Phone
- (507) 212-0002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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