Organization
JEFFREY J HENNEBERG, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY JAMES HENNEBERG DDS (OWNER/PRESIDENT)
(509) 928-8400
Entity
Organization
Contact information
Practice address
5901 N MAYFAIR ST, SUITE 201, SPOKANE, WA 99208-5096
(509) 928-8400
(509) 928-1845
Mailing address
100 N MULLAN RD, SUITE 204, SPOKANE VALLEY, WA 99206-6859
(509) 928-8400
(509) 928-1845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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