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Dr. Kenneth Gordon Heaton JR., DDS
General Practice Dentistry in Los Banos, California
NPI 1740263359

Kenneth Gordon Heaton JR. is a General Practice Dentistry based in Merced, CA and is specialized in General Practice. Kenneth Gordon Heaton JR. practices in Los Banos, CA and has the professional credentials of DDS. The NPI Number for Kenneth Gordon Heaton JR. is 1740263359 and holds a License No. 41731 (California).

The current practice location address for Kenneth Gordon Heaton JR. is 725 W I St, Los Banos, CA and can be reached out via phone at 209-826-1094 and via fax at 209-826-7808.

Location: 725 W I St, Los Banos, CA, 95340-6805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740263359
Provider Name
Kenneth Gordon Heaton JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
725 W I St, Los Banos, CA, 95340-6805
Phone Number
209-826-1094
Fax Number
209-826-7808
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
725 W I St
City
Los Banos
State
California
Zip
93635-3478
Phone Number
209-826-1094
Fax Number
209-826-7808
person
Provider Business Mailing Address Details
Address
725 W I St
City
Los Banos
State
California
Zip
93635-3478
Phone Number
209-826-1094
Fax Number
209-826-7808
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
41731 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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