Individual
DR. DANIEL HENRICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.
Contact information
Practice address
1292 S MARKET BLVD, CHEHALIS, WA 98532-3645
(360) 748-4481
Mailing address
1292 S MARKET BLVD, CHEHALIS, WA 98532-3645
(360) 748-4481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60483592
WA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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