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Organization
HENNINGER DENTAL CORPORATION
Active
Organization
HENNINGER DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEE KOZOLA (BUSINESS MANAGER)
(760) 717-3399
Entity
Organization
Contact information
Practice address
1445 ENCINITAS BLVD, ENCINITAS, CA 92024-2931
(760) 717-3399
Mailing address
1445 ENCINITAS BLVD, ENCINITAS, CA 92024-2931
(760) 717-3399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/25/2026
Last updated
08/25/2026
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