Individual
DR. TAMMY KNAPP HEISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
238 BROOKLEY AVE SW, 579TH MDG/SGHC, BOLLING AFB, DC 20032-7704
(202) 404-3603
Mailing address
238 BROOKLEY AVE SW, 579TH MDG/SGHC, BOLLING AFB, DC 20032-7704
(202) 404-3603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029261L
PA
Other
Enumeration date
10/18/2006
Last updated
06/10/2013
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