Individual
SHAWNA MAUREEN HEETLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
2211 MIDWESTERN PKWY, WICHITA FALLS, TX 76308-2300
(940) 691-2911
(940) 691-4240
Mailing address
2211 MIDWESTERN PKWY STE 1, WICHITA FALLS, TX 76308-2300
(940) 691-2911
(940) 691-4240
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0025837
TX
Other
Enumeration date
10/03/2005
Last updated
02/12/2011
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