Individual
DR. MARISA ANN HEISTERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
615 E 14TH ST, DES MOINES, IA 50316-3508
(515) 262-2655
Mailing address
6704 COMPTON CT, JOHNSTON, IA 50131-2756
(515) 803-8302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-090659
IA
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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