DR. Kenneth Harrison Schrecengost, DMD

NPI #1598057804 in Ridgefield, Washington

Provider Information

NPI Number: 1598057804
Entity Type: Individual
Name: DR. Kenneth Harrison Schrecengost, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 4, 2011
Last Updated: May 4, 2011

Practice Location

Address: 2217 NE 179TH ST
Address 2: #42
City: Ridgefield
State: Washington
ZIP Code: 98642-8614
Phone: (360) 859-3466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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