Most Relevant Information
Provider Data
| NPI Number: | 1003824525 |
| Provider Name: | HEATHER ROSE REYERSON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 5256-015 |
Most Important Dates
| Enumeration Date: | 08/03/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2505 LOOMIS ST
LA CROSSE
WI
546031973
Practice Location Phone/Fax
| Phone: | 6087794313 |
| Fax: |
Provider Mailing Location
2030 7TH ST S
LA CROSSE
WI
546015202
Provider Mailing Phone/Fax
| Phone: | 6087822812 |
| Fax: | 6087822815 |