Myron A Henrickson DDS

NPI 1023231776 - Dentist - 1223G0001X

NPI Details
NPI 1023231776
Gender Male
Enumeration Date 04/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1560 BEAM AVE
SUITE 2
MAPLEWOOD MN, 55109-1191, US
Phone (651) 777-8900
Fax (651) 777-8908
Business Location
1560 BEAM AVE
SUITE 2
MAPLEWOOD MN, 55109-1191, US
Phone (651) 777-8900
Fax (651) 777-8908
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D9492
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According to our database, Dr. Myron A Henrickson DDS NPI is 1023231776, taxonomy code is 1223G0001X and license number is D9492, license state is located at Minnesota. Myron A Henrickson DDS physically located at 1560 Beam Ave, Maplewood MN, 55109-1191. NPI Number Myron A Henrickson DDS has the Individual type.

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1023231776 NPI number is provided on an as is basis without warranty of any kind. 1023231776 is maintained by the National Plan & Provider Enumeration System. The contents of Myron A Henrickson DDS are for informational purposes only.