Mark R Heinemann DDS

NPI 1053435594 - Dentist - 1223X0400X

NPI Details
NPI 1053435594
Gender Male
Enumeration Date 03/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9633 LEVIN RD NW
SUITE 206
SILVERDALE WA, 98383-8131, US
Phone (360) 692-3030
Fax (360) 692-7720
Business Location
9633 LEVIN RD NW
SUITE 206
SILVERDALE WA, 98383-8131, US
Phone (360) 692-3030
Fax (360) 692-7720
Toxanomy
Taxonomy Code 1223X0400X
License State Washington
License Number 3816
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According to our database, Dr. Mark R Heinemann DDS NPI is 1053435594, taxonomy code is 1223X0400X and license number is 3816, license state is located at Washington. Mark R Heinemann DDS physically located at 9633 Levin Rd Nw, Silverdale WA, 98383-8131. NPI Number Mark R Heinemann DDS has the Individual type.

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1053435594 NPI number is provided on an as is basis without warranty of any kind. 1053435594 is maintained by the National Plan & Provider Enumeration System. The contents of Mark R Heinemann DDS are for informational purposes only.