Organization
KELLY A. HENNESSEY D.D.S., PLLC
Active
Other names
Manito Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A HENNESSEY DDS (DENTIST/OWNER)
(509) 714-5757
Entity
Organization
Contact information
Practice address
3615 S GRAND BLVD, SPOKANE, WA 99203-2624
(509) 456-8676
(509) 465-8676
Mailing address
3615 S GRAND BLVD, SPOKANE, WA 99203-2624
(509) 456-8676
(509) 465-8676
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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