Individual
DR. JAROM COOPER HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
24093
TX
1223G0001X
General Practice Dentistry
24093
TX
Other
Enumeration date
08/25/2008
Last updated
07/10/2013
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