L. Blaine Kennington, Dds, PC
NPI #1306187836 in Castle Rock, Washington
Provider Information
- NPI Number
- 1306187836
- Entity Type
- Organization
- Organization Name
- L. Blaine Kennington, Dds, PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 7, 2013
- Last Updated
- Mar 7, 2013
Practice Location
- Address
- 358 FRONT AVE NW
- City
- Castle Rock
- State
- Washington
- ZIP Code
- 98611-8996
- Phone
- (360) 274-9100
Authorized Official
- Name
- LESTER B KENNINGTON, D.D.S.
- Title
- PRESIDENT
- Phone
- (360) 247-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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