institution
L. Blaine Kennington, Dds, Pc
Dental Clinic/Center in Castle Rock, Washington
NPI 1306187836

L. Blaine Kennington, Dds, Pc is a Dental Clinic/Center based in Castle Rock, WA and is specialized in Dental. L. Blaine Kennington, Dds, Pc practices in Castle Rock, WA. The NPI Number for L. Blaine Kennington, Dds, Pc is 1306187836 and holds a License No. DE00009274 (Washington).

The current practice location address for L. Blaine Kennington, Dds, Pc is 358 Front Ave Nw, Castle Rock, WA and can be reached out via phone at 360-274-9100 and via fax at 360-274-8152.

Location: 358 Front Ave Nw, Castle Rock, WA, 98611-8996
institution
Provider Profile Details
NPI Number
1306187836
Provider Name
L. Blaine Kennington, Dds, Pc
Credential
Provider Entity Type
Organization
Address
358 Front Ave Nw, Castle Rock, WA, 98611-8996
Phone Number
360-274-9100
Fax Number
360-274-8152
Provider Enumeration Date
03/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
358 Front Ave Nw
City
State
Zip
98611-8996
Phone Number
360-274-9100
Fax Number
360-274-8152
person
Provider Business Mailing Address Details
Address
358 Front Ave Nw
City
State
Zip
98611-8996
Phone Number
360-274-9100
Fax Number
360-274-8152
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DE00009274 (Washington)
Definition
Definition to come...
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