Scott Henricksen DDS

NPI #1982001988 in Shoreline, Washington

Provider Information

NPI Number: 1982001988
Entity Type: Organization
Organization Name: Scott Henricksen DDS
Primary Specialty: Dentist
Enumeration Date: Nov 20, 2014
Last Updated: Nov 20, 2014

Practice Location

Address: 701 N 182ND ST # 120
City: Shoreline
State: Washington
ZIP Code: 98133-4430
Phone: (206) 542-7600

Authorized Official

Name: J SCOTT HENRICKSEN, DDS
Title: OWNER DENTIST
Phone: (206) 542-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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