Individual
DR. GREGORY JAMES HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2525 K ST, SUITE 101, SACRAMENTO, CA 95816-5114
(916) 442-1882
(916) 442-3039
Mailing address
2525 K ST, SUITE 101, SACRAMENTO, CA 95816-5114
(916) 442-1882
(916) 442-3039
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28450
CA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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