Individual
DR. MARK T HETZER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18905 33RD AVE W, #201, LYNNWOOD, WA 98036-4730
(425) 771-9090
(425) 775-1549
Mailing address
18905 33RD AVE W #201, LYNNWOOD, WA 98036-4730
(425) 771-9090
(425) 775-1549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7051
WA
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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