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Individual

MARCUS SCOTT HEFFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2675 IRVINE AVE STE 116, COSTA MESA, CA 92627-6604
(949) 335-7303
Mailing address
2675 IRVINE AVE STE 116, COSTA MESA, CA 92627-6604
(949) 335-7303

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
103129
CA
122300000X
Dentist
30.025702
OH
1223P0221X
Pediatric Dentistry
Primary
30.025702
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0363898
OH
Enumeration date
07/22/2014
Last updated
10/24/2025
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