Individual
TAMARA L. HIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
320 W 2ND ST, SEYMOUR, IN 47274-2148
(812) 524-2424
(812) 524-2727
Mailing address
105 COMMUNITY DR, SEYMOUR, IN 47274-1955
(812) 524-2424
(812) 524-2727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009765
IN
Other
Enumeration date
04/20/2007
Last updated
11/09/2016
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