Individual
DR. JIEAN JOSEPH HEIFETZ-LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
246 GOOSE LN STE 204, GUILFORD, CT 06437-2186
(203) 453-4381
Mailing address
246 GOOSE LN STE 204, GUILFORD, CT 06437-2186
(203) 453-4381
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13319
CT
Other
Enumeration date
06/12/2017
Last updated
06/23/2022
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