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1649471855
JONATHAN RAY HEIZER
GRANBURY, TX
NPI
1649471855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 21719)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
Dr. JONATHAN RAY HEIZER DDS
915 W PEARL ST
GRANBURY, TX 76048-2051
Phone number: 817-573-3724
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Mailing Address
Dr. JONATHAN RAY HEIZER DDS
915 W PEARL ST
GRANBURY, TX 76048-2051
Phone number: 817-573-3724
Copy
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