Individual
DR. BRYCE HEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
2103 TELSHOR CT, LAS CRUCES, NM 88011-8245
(985) 788-5782
Mailing address
2103 TELSHOR CT, LAS CRUCES, NM 88011-8245
(575) 522-8800
(575) 521-4448
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DD3068
NM
Other
Enumeration date
02/28/2008
Last updated
04/29/2022
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