Organization
HSU, TSUCHIKAWA, HENNEBERG, GHORBANIAN, PLLC
Active
Other names
Sunrise Dental of Spokane Valley
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL HENNEBERG (OWNER)
(509) 924-0055
Entity
Organization
Contact information
Practice address
15701 E SPRAGUE AVE STE F, SPOKANE VALLEY, WA 99037-5019
(509) 924-0055
(509) 924-0051
Mailing address
15701 E SPRAGUE AVE STE F, SPOKANE VALLEY, WA 99037-5019
(509) 924-0055
(509) 924-0051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60102400
WA
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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