KENNETH GORDON HEATON

LOS BANOS, CA
NPI1740263359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  41731)
Enumeration Date2005-11-29
Last Update Date2023-03-07
Business Address
Dr. KENNETH GORDON HEATON DDS
725 W I ST
LOS BANOS, CA 93635-3478
Phone number: 209-826-1094
Mailing Address
Dr. KENNETH GORDON HEATON DDS
737 W CHILDS AVE
MERCED, CA 95340-6805
Phone number: 209-383-1848