Organization
C. R. HEIRTZLER, JR., D.D.S., INC.
Active
Organization
C. R. HEIRTZLER, JR., D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE R HEIRTZLER JR. D.D.S. (PRESIDENT/OWNER)
(409) 962-5311
Entity
Organization
Contact information
Practice address
3312 MEDICAL TRIANGLE DRIVE, PORT ARTHUR, TX 77642-2424
(409) 962-5311
(409) 963-3192
Mailing address
3312 MEDICAL TRIANGLE DRIVE, PORT ARTHUR, TX 77642-2424
(409) 962-5311
(409) 963-3192
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6682
TX
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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