Larry Heggerness Social Purpose Professional Corporation
NPI #1124365796 in Tukwila, Washington
Provider Information
- NPI Number
- 1124365796
- Entity Type
- Organization
- Organization Name
- Larry Heggerness Social Purpose Professional Corporation
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jan 15, 2013
- Last Updated
- Jan 15, 2013
Practice Location
- Address
- 6720 FORT DENT WAY STE 120
- City
- Tukwila
- State
- Washington
- ZIP Code
- 98188-2580
- Phone
- (206) 242-4121
Authorized Official
- Name
- DR. LARRY K HEGGERNESS, DDS
- Title
- PRESIDENT
- Phone
- (206) 242-4121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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