Individual
DR. HEATHER ANN STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3480 S PLATTE RIVER DR, APT 9108, SHERIDAN, CO 80110-2181
(406) 788-9542
Mailing address
3480 S PLATTE RIVER DR, APT 9108, SHERIDAN, CO 80110-2181
(406) 788-9542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
150623
CO
1223G0001X
General Practice Dentistry
Primary
10138
CO
Other
Enumeration date
06/08/2009
Last updated
07/07/2010
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