Individual
DR. NATHAN HEYWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
624 MAIN ST, WALSENBURG, CO 81089-2136
(719) 695-1004
Mailing address
624 MAIN ST, WALSENBURG, CO 81089-2136
(719) 695-1004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00203138
CO
Other
Enumeration date
07/05/2016
Last updated
04/29/2025
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