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Organization
DANIEL M. HENRICKSEN DDS MS PLLC
Active
Organization
DANIEL M. HENRICKSEN DDS MS PLLC
Active
Other names
Henricksen Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL M HENRICKSEN D.D.S, M.S (DENTIST/OWNER)
(360) 748-4481
Entity
Organization
Contact information
Practice address
1292 S MARKET BLVD, CHEHALIS, WA 98532-3645
(360) 748-4481
(360) 740-7542
Mailing address
1292 S MARKET BLVD, CHEHALIS, WA 98532-3645
(360) 748-4481
(360) 740-7542
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5334800
WA
Other
Enumeration date
01/14/2014
Last updated
04/29/2015
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