# ANDREW HENRITZE DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANDREW HENRITZE DDS PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699318410
- **Legal business name:** ANDREW HENRITZE DDS PLLC
- **Authorized official:** KARA TRAIL (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (540) 588-7312

## Contact information

- **Practice address:** 1103 BROOKDALE ST, MARTINSVILLE, VA 24112-4528
- **Practice address phone:** (276) 632-2634
- **Mailing address:** 1103 BROOKDALE ST STE E, MARTINSVILLE, VA 24112-4531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2019
- **Last updated:** 10/24/2019