Individual
EDWARD HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
263 S WEST ST, TULARE, CA 93274-3411
(877) 960-3426
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100555
CA
Other
Enumeration date
04/17/2014
Last updated
08/08/2016
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