Individual
DR. KYLE WAYNE HEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
44 JON ST, METROPOLIS, IL 62960
(618) 524-7303
(618) 524-4805
Mailing address
44 JON ST, METROPOLIS, IL 62960
(618) 524-7303
(618) 524-4805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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