Individual
DR. HEATHER SURRATT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6000 BOND AVE, SIHF - MCC, CENTREVILLE, IL 62207-2328
(618) 332-2740
(618) 332-8755
Mailing address
1160 TAZEWELL DR, O FALLON, IL 62269-7149
(618) 632-5090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-026518
IL
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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