Individual
DR. SANDRA S. HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
45 PINE STREET, 1ST MEDICAL GROUP, LANGLEY AFB, VA 23665-2080
(757) 225-5967
Mailing address
5000 GARDNER LN, SUFFOLK, VA 23434-7094
(757) 242-4019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006878
VA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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