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
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99216-0727
- Phone
- (509) 924-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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