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Organization

KNUTE J HERNAS DDS PS

Active
Other names
Hernas Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KNUTE J HERNAS DDS (OWNER/PRESIDENT)
(509) 725-6281
Entity
Organization

Contact information

Practice address
100 3RD ST, SUITE 3, DAVENPORT, WA 99122-5008
(509) 725-6281
(509) 725-6282
Mailing address
100 3RD ST, SUITE 3, DAVENPORT, WA 99122-5008
(509) 725-6281
(509) 725-6282

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
601835986
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5036009
WA
Enumeration date
11/19/2008
Last updated
11/19/2008
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