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1932405180
KELLY HEETLAND
WICHITA FALLS, TX
NPI
1932405180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 0025867)
Enumeration Date
2011-02-07
Last Update Date
2011-02-07
Business Address
Dr. KELLY HEETLAND D.D.S., M.S.D.
2211 MIDWESTERN PKWY SUITE 1
WICHITA FALLS, TX 76308-2300
Phone number: 940-691-2911
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Mailing Address
Dr. KELLY HEETLAND D.D.S., M.S.D.
2211 MIDWESTERN PKWY SUITE 1
WICHITA FALLS, TX 76308-2300
Phone number: 940-691-2911
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