Brett A Henrikson D.D.S.

NPI 1063629988 - Dentist - 1223S0112X

NPI Details
NPI 1063629988
Gender Male
Enumeration Date 05/17/2007
Last Updated 02/24/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2 EXECUTIVE DR STE A
LAFAYETTE IN, 47905-4859, US
Phone (765) 807-0230
Fax (765) 807-0234
Business Location
2 EXECUTIVE DR STE A
LAFAYETTE IN, 47905-4859, US
Phone (765) 807-0230
Fax (765) 807-0234
Toxanomy
Taxonomy Code 1223S0112X
License State Indiana
License Number 12010155A
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According to our database, Brett A Henrikson D.D.S. NPI is 1063629988, taxonomy code is 1223S0112X and license number is 12010155A, license state is located at Indiana. Brett A Henrikson D.D.S. physically located at 2 Executive Dr Ste A, Lafayette IN, 47905-4859. NPI Number Brett A Henrikson D.D.S. has the Individual type.

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1063629988 NPI number is provided on an as is basis without warranty of any kind. 1063629988 is maintained by the National Plan & Provider Enumeration System. The contents of Brett A Henrikson D.D.S. are for informational purposes only.