Organization
ALL ABOUT SMILES, PIPESTONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON HEEZEN DDS (OWNER, DENTIST)
(888) 825-4214
Entity
Organization
Contact information
Practice address
118 W MAIN ST, PIPESTONE, MN 56164-1652
(888) 825-4214
(507) 825-4216
Mailing address
118 W MAIN ST, PIPESTONE, MN 56164-1652
(888) 825-4214
(507) 825-4216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13103
MN
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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