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1568879690
DANIEL HENRICKSEN
CHEHALIS, WA
NPI
1568879690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60483592)
Enumeration Date
2014-07-21
Last Update Date
2014-07-21
Business Address
Dr. DANIEL HENRICKSEN D.D.S, M.S.
1292 S MARKET BLVD
CHEHALIS, WA 98532-3645
Phone number: 360-748-4481
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Mailing Address
Dr. DANIEL HENRICKSEN D.D.S, M.S.
1292 S MARKET BLVD
CHEHALIS, WA 98532-3645
Phone number: 360-748-4481
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