Organization
L. BLAINE KENNINGTON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESTER B KENNINGTON D.D.S. (PRESIDENT)
(360) 247-9100
Entity
Organization
Contact information
Practice address
358 FRONT AVE NW, CASTLE ROCK, WA 98611-8996
(360) 274-9100
(360) 274-8152
Mailing address
358 FRONT AVE NW, CASTLE ROCK, WA 98611-8996
(360) 274-9100
(360) 274-8152
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00009274
WA
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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