| Henager & Black Dds Ps | |
|
8400 W Gage Blvd Kennewick WA 99336 | |
| (509) 735-9548 | |
| (509) 735-6876 |
| Full Name | Henager & Black Dds Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8400 W Gage Blvd, Kennewick, Washington |
| Authorized Official Name and Position | Stephen Douglas Henager (PRESIDENT) |
| Authorized Official Contact | 5097359548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henager & Black Dds Ps 8400 W Gage Blvd Kennewick WA 99336 Ph: (509) 735-9548 | Henager & Black Dds Ps 8400 W Gage Blvd Kennewick WA 99336 Ph: (509) 735-9548 |
| NPI Number | 1699857177 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699857177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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