Individual
DR. RICHARD KENT HEIDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
195 W TELEGRAPH ST, WASHINGTON, UT 84780-1675
(435) 673-4605
(435) 688-9751
Mailing address
195 W TELEGRAPH ST, WASHINGTON, UT 84780-1675
(435) 673-4605
(435) 688-9751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6626893
UT
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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