Organization
ANDREW F. HEIDERGOTT, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW F HEIDERGOTT DDS (PRESIDENT)
(509) 466-6979
Entity
Organization
Contact information
Practice address
10121 N NEVADA ST, SUITE 202, SPOKANE, WA 99218-3120
(509) 466-6979
(509) 466-0731
Mailing address
10121 N NEVADA ST, SUITE 202, SPOKANE, WA 99218-3120
(509) 466-6979
(509) 466-0731
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60107465
WA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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