Individual
DR. JUSTIN WAYNE HEIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D,S.
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
122300000X
Dentist
Primary
D 5642
AZ
Other
Enumeration date
03/23/2007
Last updated
04/22/2008
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