Individual
TROY MICHAEL HEISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
142 PEMBROOK ST SE, SALEM, OR 97302
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10849
OR
Other
Enumeration date
07/09/2018
Last updated
07/13/2018
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