Organization · Type 2 NPI

Larry Heggerness Social Purpose Professional Corporation

Pediatric Dentistry · Tukwila, WA

NPI number 1124365796 Active

Practice location

6720 Fort Dent Way Ste 120
Tukwila, WA 98188-2580

Fax (206) 242-4113

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDE00003686 (WA)

Pediatric Dentistry: 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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About NPI 1124365796

Larry Heggerness Social Purpose Professional Corporation's National Provider Identifier is 1124365796, issued on Jan 15, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tukwila, WA. The record was last updated on Jan 15, 2013.