THEODORE MARK HENNESSEY

FEDERAL WAY, WA
NPI1558432666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE00010589)
Enumeration Date2006-11-11
Last Update Date2012-06-21
Business Address
Dr. THEODORE MARK HENNESSEY DDS
181 S 333RD ST SUITE C-100
FEDERAL WAY, WA 98003-7363
Phone number: 253-661-6381
Mailing Address
Dr. THEODORE MARK HENNESSEY DDS
19715 SCRIBER LAKE RD SUITE C
LYNNWOOD, WA 98036-6165
Phone number:
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