Andrew F. Heidergott, DDS, Ps
Dentist, General Practice in Spokane, WA. Organization (NPI-2).
NPI number1326318643
StatusActive
Last updated in NPPESJan 3, 2012
Details
- NPI
- 1326318643
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrew F. Heidergott, DDS, Ps
- Organization subpart
- No
- Enumeration date
- Jan 3, 2012
- Last updated
- Jan 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DE60107465 | WA | Yes |
Practice location
10121 N Nevada StSuite 202
Spokane, WA 99218-3120
Phone 509-466-6979 · Fax 509-466-0731
Mailing address
10121 N Nevada StSuite 202
Spokane, WA 99218-3120
Phone 509-466-6979 · Fax 509-466-0731
Authorized official
Andrew F Heidergott
President
5094666979
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