Organization
RJ HENNEBERG, PLLC
Active
Other names
Sunrise Dental of Moses Lake
Organization subpart
No
Provider details
NPI number
Authorized official
KASHA RAPP (DIRECTOR OF OPERATIONS)
(509) 765-0150
Entity
Organization
Contact information
Practice address
417 E BROADWAY AVE STE 103, MOSES LAKE, WA 98837-3081
(509) 766-5015
(509) 855-9070
Mailing address
417 E BROADWAY AVE STE 103, MOSES LAKE, WA 98837-3081
(509) 766-5015
(509) 855-9070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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