Individual
GARY HECKENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1234 EATON AVE, BETHLEHEM, PA 18018-1806
(610) 866-7021
(610) 866-7021
Mailing address
1234 EATON AVE, BETHLEHEM, PA 18018-1806
(610) 866-7021
(610) 866-7021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS023663L
PA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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