Individual
JUSTIN DENNIS HEAPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
573 E 175 N, NORTH SALT LAKE, UT 84054-3172
(801) 949-6781
Mailing address
573 E 175 N, NORTH SALT LAKE, UT 84054-3172
(801) 949-6781
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9067699-9921
UT
Other
Enumeration date
04/16/2010
Last updated
05/19/2015
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