Individual
DR. MARK ALLEN HEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5424 PROMONTORY DR., LONG GROVE, IL 60047-5061
(708) 856-2710
Mailing address
5424 PROMONTORY DR., LONG GROVE, IL 60047-5061
(708) 856-2710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018344
IL
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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