Individual
DILLON HEBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 BERGEN ST RM B854, NEWARK, NJ 07103-2495
(973) 972-3126
(973) 972-7322
Mailing address
521 W 180TH ST APT 5C, NEW YORK, NY 10033-5933
(540) 216-8969
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
22DI03102000
NJ
Other
Enumeration date
04/23/2025
Last updated
09/03/2025
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