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Individual

DR. CHAD DAVID HEATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1301 SHAMROCK CT, WARRENSBURG, MO 64093-2490
(660) 747-6206
(660) 747-2615
Mailing address
615 BURKARTH RD STE A, WARRENSBURG, MO 64093-1487
(660) 747-6206
(660) 747-2615

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2002016549
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01615478
UNITED HEALTH CARE
MO
Enumeration date
07/07/2006
Last updated
07/08/2007
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