Individual
DR. RAE ANN HEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2300 HENDERSON MILL RD NE, SUITE 401, ATLANTA, GA 30345-2745
(770) 938-3277
(770) 934-1240
Mailing address
5010 BUCKLINE XING, DUNWOODY, GA 30338-5650
(770) 730-0990
(770) 934-1240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11583
GA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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