Organization
JUSTIN HEIDEN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY DUPIN (MANAGER OF CREDENTIALING)
(480) 674-4151
Entity
Organization
Contact information
Practice address
412 S 13TH ST, SUNNYSIDE, WA 98944-1571
(509) 837-4213
Mailing address
412 S 13TH ST, SUNNYSIDE, WA 98944-1571
(509) 837-4213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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