Individual
HALEY LEANN HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 S TRUMAN BLVD, FESTUS, MO 63028-2234
(636) 937-7920
Mailing address
10324 HILLCREST RD APT 27, KANSAS CITY, MO 64134-4334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2025019804
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2025
Last updated
06/05/2025
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