Individual
DR. RICHARD HEEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10480 W GARVERDALE CT STE 804B, BOISE, ID 83704-5477
(208) 378-9575
(208) 376-6613
Mailing address
10480 W GARVERDALE CT STE 804B, BOISE, ID 83704-5477
(208) 378-9575
(208) 376-6613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4315
ID
Other
Enumeration date
12/31/2007
Last updated
11/21/2011
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