Individual
DR. JUDSON W HEITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6608 FLYING CLOUD DR, SUITE 200, EDEN PRAIRIE, MN 55344-3381
(952) 903-5000
(952) 944-0642
Mailing address
6608 FLYING CLOUD DR, SUITE 200, EDEN PRAIRIE, MN 55344-3381
(952) 903-5000
(952) 944-0642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9685
MN
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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