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Individual

DR. SOFIA KENNEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
14411 AMBAUM BLVD SW STE B, BURIEN, WA 98166-1423
(206) 246-4559
Mailing address
14411 AMBAUM BLVD SW STE B, BURIEN, WA 98166-1423
(206) 246-4559

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D010360
AZ
122300000X
Dentist
DE60567256
WA
1223P0221X
Pediatric Dentistry
Primary
DE60567256
WA

Other

Enumeration date
07/07/2015
Last updated
07/07/2023
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