Individual
MR. DAVID A HEUETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
218 QUARTERMAN ST, WAYCROSS, GA 31501-3547
(912) 287-0301
(912) 287-1568
Mailing address
218 QUARTERMAN ST, WAYCROSS, GA 31501-3547
(912) 287-0301
(912) 287-1568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
122300000X
GA
122300000X
Dentist
Primary
DN009638
GA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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