Individual
ZACHARIAH HENNAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1424 BROADWAY, EVERETT, WA 98201-1720
(425) 551-1000
Mailing address
1424 BROADWAY, EVERETT, WA 98201-1720
(425) 551-1000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DDS100564
CA
1223G0001X
General Practice Dentistry
Primary
DE60749890
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
10/28/2021
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