institution
Daniel M. Henricksen Dds Ms Pllc
Dental Clinic/Center in Chehalis, Washington
NPI 1821410663

Daniel M. Henricksen Dds Ms Pllc is a Dental Clinic/Center based in Chehalis, WA and is specialized in Dental. Daniel M. Henricksen Dds Ms Pllc practices in Chehalis, WA. The NPI Number for Daniel M. Henricksen Dds Ms Pllc is 1821410663 and holds a License No. 5334800 (Washington).

The current practice location address for Daniel M. Henricksen Dds Ms Pllc is 1292 S Market Blvd, Chehalis, WA and can be reached out via phone at 360-748-4481 and via fax at 360-740-7542.

Location: 1292 S Market Blvd, Chehalis, WA, 98532-3645
institution
Provider Profile Details
NPI Number
1821410663
Provider Name
Daniel M. Henricksen Dds Ms Pllc
Credential
Provider Entity Type
Organization
Address
1292 S Market Blvd, Chehalis, WA, 98532-3645
Phone Number
360-748-4481
Fax Number
360-740-7542
Provider Enumeration Date
01/14/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2043379 05 WA
5334800 05 WA
institution
Provider Business Practice Location Address Details
Address
1292 S Market Blvd
City
State
Zip
98532-3645
Phone Number
360-748-4481
Fax Number
360-740-7542
person
Provider Business Mailing Address Details
Address
1292 S Market Blvd
City
State
Zip
98532-3645
Phone Number
360-748-4481
Fax Number
360-740-7542
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
5334800 (Washington)
Definition
Definition to come...
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