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Individual

DR. KARL L H HEGGLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
975 N TEN MILE DR, SUITE E-11, FRISCO, CO 80443
(970) 668-1314
(970) 668-1057
Mailing address
PO BOX 4998, FRISCO, CO 80443
(970) 668-1314
(970) 668-1057

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8755
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8755
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
57652325
CO
Enumeration date
10/27/2006
Last updated
03/12/2009
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