Organization
KENNETH HANCOCK DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L HANCOCK DDS (DENTIST/OWNER)
(360) 753-7388
Entity
Organization
Contact information
Practice address
1401 4TH AVE E STE 100, OLYMPIA, WA 98506-4484
(360) 753-7388
(360) 753-3553
Mailing address
1401 4TH AVE E STE 100, OLYMPIA, WA 98506-4484
(360) 753-7388
(360) 753-3553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
122400000X
Denturist
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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