Individual
CHRISTY LEIGH HEINZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1041 E STATE HIGHWAY 152, MUSTANG, OK 73064-5117
(405) 256-0037
Mailing address
1041 E STATE HIGHWAY 152, MUSTANG, OK 73064-5117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7047
OK
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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