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
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 - DentalDental

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