Rj Henneberg, Pllc
NPI #1700490356 in Moses Lake, Washington
Provider Information
- NPI Number
- 1700490356
- Entity Type
- Organization
- Organization Name
- Rj Henneberg, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 1, 2020
- Last Updated
- Sep 1, 2020
Practice Location
- Address
- 417 E BROADWAY AVE STE 103
- City
- Moses Lake
- State
- Washington
- ZIP Code
- 98837-3081
- Phone
- (509) 766-5015
Authorized Official
- Name
- KASHA RAPP
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (509) 765-0150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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