Organization · Type 2 NPI

L. Blaine Kennington, Dds, PC

Dental Clinic/Center · Castle Rock, WA

NPI number 1306187836 Active

Practice location

358 Front Ave NW
Castle Rock, WA 98611-8996

Fax (360) 274-8152

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDE00009274 (WA)

Dental Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1306187836

L. Blaine Kennington, Dds, PC's National Provider Identifier is 1306187836, issued on Mar 7, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Castle Rock, WA. The record was last updated on Mar 7, 2013.