Individual
DR. JANE L. HEYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2212 E. 225 S., WARSAW, IN 46580-6213
(574) 269-2825
Mailing address
2212 E. 225 S., WARSAW, IN 46580-6213
(574) 269-2825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12008395A
IN
1223G0001X
General Practice Dentistry
Primary
12008395
IN
Other
Enumeration date
10/15/2006
Last updated
12/17/2009
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