Organization
EVON T. HEASER, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVON T HEASER (OWNER)
(414) 313-0359
Entity
Organization
Contact information
Practice address
160 NUCLEUS AVE, COLUMBIA FALLS, MT 59912-4010
(406) 892-2085
Mailing address
4049 BAILEY VIEW DR, EUGENE, OR 97405-6256
(406) 892-2085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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