Individual
DR. KNUTE JONATHAN HERNAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 3RD ST, SUITE 3, DAVENPORT, WA 99122-9730
(509) 725-6281
(509) 715-6282
Mailing address
100 3RD ST, SUITE 3, DAVENPORT, WA 99122-9730
(509) 725-6281
(509) 715-6282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005653
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5036009
—
WA
Enumeration date
02/02/2007
Last updated
07/09/2007
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