STAN R HEINER

MODESTO, CA
NPI1720204332
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA  25901)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
Dr. STAN R HEINER DDS
1540 OAKDALE RD
MODESTO, CA 95355-3306
Phone number: 209-577-3792
Mailing Address
Dr. STAN R HEINER DDS
1540 OAKDALE RD
MODESTO, CA 95355-3306
Phone number: 209-577-3792