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Individual

DR. JAMES HEISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
47 CLAPBOARD HILL RD STE 3, GUILFORD, CT 06437-2282
(203) 458-1992
Mailing address
47 CLAPBOARD HILL RD STE 3, GUILFORD, CT 06437-2282

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7630
CT
1223G0001X
General Practice Dentistry
7630
CT

Other

Enumeration date
04/26/2007
Last updated
05/07/2014
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