Larry Heggerness Social Purpose Professional Corporation
Larry Heggerness Social Purpose Professional Corporation is a Pediatric Dentistry in Tukwila, Washington. Licensed in Washington. Registered with an NPI since 2013.
- Licensed in
- WA
- In the registry since
- 2013
Practice location Address checks out
6720 Fort Dent Way Ste 120Tukwila, WA 98188-2580
Phone: (206) 242-4121
Fax: (206) 242-4113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence DE00003686 (WA) |
|---|
Record details
| NPI number | 1124365796 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Heggerness — President · (206) 242-4121 |
| NPI enumerated | January 15, 2013 |
| Last updated in NPPES | January 15, 2013 |
| Mailing address | 6720 Fort Dent Way Ste 120, Tukwila, WA 98188-2580 |
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