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Organization
GABRIEL HENAO DDS, INC
Active
Organization
GABRIEL HENAO DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL HENAO DDS (PRESIDENT)
(661) 287-4352
Entity
Organization
Contact information
Practice address
18772 FLYING TIGER DR, CANYON COUNTRY, CA 91387
(661) 250-9600
(661) 250-9601
Mailing address
18772 FLYING TIGER DR, CANYON COUNTRY, CA 91387
(661) 250-9600
(661) 250-9601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55971
CA
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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