Individual
MRS. TONYA MARIE HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, PHDHP
Contact information
Practice address
1895 VETERANS BLVD, NEW CUMBERLAND, WV 26047-3000
(304) 670-9710
Mailing address
1895 VETERANS BLVD, NEW CUMBERLAND, WV 26047-3000
(304) 670-9710
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH009650L
PA
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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