Individual
DR. JEFFREY J HENNEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 N MULLAN RD, SUITE #204, SPOKANE VALLEY, WA 99206-6848
(509) 928-8400
(509) 928-1845
Mailing address
100 N MULLAN RD, SUITE #204, SPOKANE VALLEY, WA 99206-6848
(509) 928-8400
(509) 928-1845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010235
WA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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