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Organization
RJ HENNEBERG, PLLC
Active
Organization
RJ HENNEBERG, PLLC
Active
Other names
Sunrise Dental of Moses Lake
Organization subpart
No
Provider details
NPI number
Authorized official
KASHA RAPP (DIRECTOR OF OPERATIONS)
(509) 765-0150
Entity
Organization
Contact information
Practice address
417 E BROADWAY AVE STE 103, MOSES LAKE, WA 98837-3081
(509) 766-5015
(509) 855-9070
Mailing address
417 E BROADWAY AVE STE 103, MOSES LAKE, WA 98837-3081
(509) 766-5015
(509) 855-9070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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