Individual
DR. LARRY K HEGGERNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4110 KITSAP WAY STE 100, BREMERTON, WA 98312-2401
(360) 479-8822
(360) 479-3565
Mailing address
4110 KITSAP WAY STE 100, BREMERTON, WA 98312-2401
(360) 479-8822
(360) 479-3565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3688
WA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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