| NPI | 1326318643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW F HEIDERGOTT President 509-466-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60107465) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |