Individual
DR. BRYCE L HETLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7728 HEALDSBURG AVE, SEBASTOPOL, CA 95472-3352
(707) 824-5454
Mailing address
7728 HEALDSBURG AVE, SEBASTOPOL, CA 95472-3352
(707) 824-5454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40446
CA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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