Individual
DR. AUDRA LEANN HIEMSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14090 FM 2920 RD STE H, TOMBALL, TX 77377-5550
(281) 516-1222
(866) 204-0120
Mailing address
16510 DUNLEITH CIR, CYPRESS, TX 77429-4832
(281) 389-2720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24722
TX
Other
Enumeration date
06/15/2009
Last updated
04/09/2015
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