Randal James Henneberg, D.D.S.

NPI #1083846927 in Spokane Valley, Washington

Provider Information

NPI Number
1083846927
Entity Type
Individual
Name
Randal James Henneberg, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 11, 2009
Last Updated
Aug 17, 2021

Practice Location

Address
12701 E SPRAGUE AVE
ZIP Code
99216-0727
Phone
(509) 924-0055

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - General PracticeGeneral Practice

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