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1013081868
BERT L HEISSER
WARREN, OH
NPI
1013081868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OH 011820)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- BERT L HEISSER DDS
947 HALLOCK YOUNG RD SW
WARREN, OH 44481-9636
Phone number: 330-824-2515
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Mailing Address
-- BERT L HEISSER DDS
947 HALLOCK YOUNG RD SW
WARREN, OH 44481-9636
Phone number: 330-824-2515
Copy
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