Individual
DR. SUSAN M HEINZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
150 S TULSA AVE, RUSSELLVILLE, AR 72801-4600
(479) 968-2100
(479) 968-2107
Mailing address
150 S TULSA AVE, RUSSELLVILLE, AR 72801-4600
(916) 335-7510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4149
AR
1223G0001X
General Practice Dentistry
54285
CA
Other
Enumeration date
09/20/2006
Last updated
07/21/2022
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