Organization
HERON LAKES DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MEARS D.D.S. (OWNER)
(608) 769-2979
Entity
Organization
Contact information
Practice address
1335 GRAND MARKET AVENUE, SUITE 120, BERTHOUD, CO 80513
(970) 841-1255
Mailing address
1500 HAREBELL ST, BERTHOUD, CO 80513-9598
(608) 769-2979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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