Individual
DR. MARK R HEINEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9633 LEVIN RD NW, SUITE 206, SILVERDALE, WA 98383-8131
(360) 692-3030
(360) 692-7720
Mailing address
9633 LEVIN RD NW, SUITE 206, SILVERDALE, WA 98383-8131
(360) 692-3030
(360) 692-7720
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3816
WA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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