Individual
DR. SCOTT KENNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14411 AMBAUM BLVD SW STE B, BURIEN, WA 98166-1423
(206) 246-4559
Mailing address
14411 AMBAUM BLVD SW STE B, BURIEN, WA 98166-1423
(206) 246-4559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-4385
ID
122300000X
Dentist
DE 60277312
WA
1223G0001X
General Practice Dentistry
D009794
AZ
1223P0221X
Pediatric Dentistry
Primary
DE60277312
WA
Other
Enumeration date
11/15/2011
Last updated
07/07/2023
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