Individual
LESTER BLAINE KENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
358 FRONT AVE NW, CASTLE ROCK, WA 98611-0458
(360) 274-9100
(360) 274-8152
Mailing address
PO BOX 458, CASTLE ROCK, WA 98611-0458
(360) 274-9100
(360) 274-8152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEAOOOO9274
WA
Other
Enumeration date
07/12/2006
Last updated
03/07/2013
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