Organization
SCOTT HENRICKSEN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J SCOTT HENRICKSEN DDS (OWNER DENTIST)
(206) 542-7600
Entity
Organization
Contact information
Practice address
701 N 182ND ST # 120, SHORELINE, WA 98133-4430
(206) 542-7600
(206) 542-7727
Mailing address
701 N 182ND ST # 120, SHORELINE, WA 98133-4430
(206) 542-7600
(206) 542-7727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5431
WA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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