| NPI | 1699857177 |
|---|---|
| Former Legal Business Name | HENAGER & BLACK D.D.S., P.S. |
| Entity Type | Organization |
| Authorized Contact | LISELOTTE ALIQ MANNION BLACK President/Dentist Owner 509-735-9548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2026-04-15 |