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Larry Heggerness Social Purpose Professional Corporation
Pediatric Dentist in Tukwila, Washington
NPI 1124365796

Larry Heggerness Social Purpose Professional Corporation is a Pediatric Dentist based in Tukwila, WA and is specialized in Pediatric Dentistry. Larry Heggerness Social Purpose Professional Corporation practices in Tukwila, WA. The NPI Number for Larry Heggerness Social Purpose Professional Corporation is 1124365796 and holds a License No. DE00003686 (Washington).

The current practice location address for Larry Heggerness Social Purpose Professional Corporation is 6720 Fort Dent Way Ste 120, Tukwila, WA and can be reached out via phone at 206-242-4121 and via fax at 206-242-4113.

Location: 6720 Fort Dent Way Ste 120, Tukwila, WA, 98188-2580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124365796
Provider Name
Larry Heggerness Social Purpose Professional Corporation
Credential
Provider Entity Type
Organization
Address
6720 Fort Dent Way Ste 120, Tukwila, WA, 98188-2580
Phone Number
206-242-4121
Fax Number
206-242-4113
Provider Enumeration Date
01/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6720 Fort Dent Way Ste 120
City
Tukwila
State
Washington
Zip
98188-2580
Phone Number
206-242-4121
Fax Number
206-242-4113
person
Provider Business Mailing Address Details
Address
6720 Fort Dent Way Ste 120
City
Tukwila
State
Washington
Zip
98188-2580
Phone Number
206-242-4121
Fax Number
206-242-4113
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DE00003686 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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