Individual
DR. KENNETH HARRISON SCHRECENGOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2217 NE 179TH ST, #42, RIDGEFIELD, WA 98642-8614
(360) 859-3466
Mailing address
2217 NE 179TH ST, #42, RIDGEFIELD, WA 98642-8614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00003343
WA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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