Patrick Henrie DDS

NPI 1275653743 - Dentist - 1223G0001X

NPI Details
NPI 1275653743
Gender Male
Enumeration Date 03/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1096 S DORA ST
UKIAH CA, 95482-5737, US
Phone (707) 462-5706
Fax
Business Location
PO BOX 416
TALMAGE CA, 95481-0416, US
Phone (707) 468-2176
Fax (707) 462-4151
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 20020
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According to our database, Patrick Henrie DDS NPI is 1275653743, taxonomy code is 1223G0001X and license number is 20020, license state is located at California. Patrick Henrie DDS physically located at 1096 S Dora St, Ukiah CA, 95482-5737. NPI Number Patrick Henrie DDS has the Individual type.

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1275653743 NPI number is provided on an as is basis without warranty of any kind. 1275653743 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Henrie DDS are for informational purposes only.