Individual
HEATHER MARIE TESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
219 PRINCETON RD, JOHNSON CITY, TN 37601-2052
(423) 975-7919
Mailing address
219 PRINCETON RD, JOHNSON CITY, TN 37601-2052
(423) 975-7919
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DA0000010671
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA0000010671
DENTAL ASSISTANT
TN
Enumeration date
06/15/2020
Last updated
06/15/2020
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