Individual
DR. RICHARD HETTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3900 FLOYD BLVD, SIOUX CITY, IA 51108-1552
(712) 239-5812
Mailing address
3900 FLOYD BLVD, SIOUX CITY, IA 51108-1552
(712) 239-5812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6429
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166330
—
IA
Enumeration date
05/23/2007
Last updated
07/08/2007
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