Daniel M. Henricksen DDS Ms Pllc
NPI #1821410663 in Chehalis, Washington
Provider Information
- NPI Number
- 1821410663
- Entity Type
- Organization
- Organization Name
- Daniel M. Henricksen DDS Ms Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 14, 2014
- Last Updated
- Apr 29, 2015
Practice Location
- Address
- 1292 S MARKET BLVD
- City
- Chehalis
- State
- Washington
- ZIP Code
- 98532-3645
- Phone
- (360) 748-4481
Authorized Official
- Name
- DANIEL M HENRICKSEN, D.D.S, M.S
- Title
- DENTIST/OWNER
- Phone
- (360) 748-4481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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