Individual
GARY DAVID HEITZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
615 BROADWAY, HASTINGS ON HUDSON, NY 10706-1039
(914) 478-8585
(914) 478-5797
Mailing address
615 BROADWAY, HASTINGS ON HUDSON, NY 10706-1039
(914) 478-8585
(914) 478-5797
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
044619
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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