DR. Daniel Henricksen, D.D.S, M.S.

NPI #1568879690 in Chehalis, Washington

Provider Information

NPI Number: 1568879690
Entity Type: Individual
Name: DR. Daniel Henricksen, D.D.S, M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S, M.S.
Enumeration Date: Jul 21, 2014
Last Updated: Jul 21, 2014

Practice Location

Address: 1292 S MARKET BLVD
City: Chehalis
State: Washington
ZIP Code: 98532-3645
Phone: (360) 748-4481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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