Theodore M Hennessey DDS Ps
NPI #1255694147 in Lynnwood, Washington
Provider Information
- NPI Number
- 1255694147
- Entity Type
- Organization
- Organization Name
- Theodore M Hennessey DDS Ps
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 17, 2012
- Last Updated
- Jun 17, 2012
Practice Location
- Address
- 19715 SCRIBER LAKE RD STE C
- City
- Lynnwood
- State
- Washington
- ZIP Code
- 98036-6165
- Phone
- (425) 774-7781
Authorized Official
- Name
- THEODORE M HENNESSEY, DDS
- Title
- OWNER
- Phone
- (425) 774-7781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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