Individual
DR. HEIDI JO HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2210 N 56TH STREET, SEATTLE, WA 98103-6204
(206) 545-4411
(206) 545-4422
Mailing address
2210 N 56TH STREET, SEATTLE, WA 98103-6204
(206) 545-4411
(206) 545-4422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6857
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83569900
DEPT OF LABOR & IND
WA
Enumeration date
11/07/2006
Last updated
07/08/2007
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