Individual
DR. JASON T HEINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
102 1ST AVE E, POLSON, MT 59860-2335
(406) 883-5544
(406) 883-5420
Mailing address
102 1ST AVE E, POLSON, MT 59860-2335
(406) 883-5544
(406) 883-5420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2363
MT
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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