Organization
KENNEL AND KENNEL, PLLC
Active
Other names
Burien Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA KENNEL DDS (PEDIATRIC DENTIST)
(602) 620-4105
Entity
Organization
Contact information
Practice address
14411 AMBAUM BLVD SW STE B, BURIEN, WA 98166-1423
(602) 620-4105
Mailing address
14411 AMBAUM BLVD SW STE B, BURIEN, WA 98166-1423
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
01/24/2023
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