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Individual

DR. JOHN HEFFERNAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
1832 PEARL RD, BRUNSWICK, OH 44212-3252
(330) 460-3016
Mailing address
1236 MICHIGAN AVE, COLUMBUS, OH 43201-3116

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.024446
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/21/2012
Last updated
12/10/2024
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