# MONICA HENAO DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982462404
- **Authorized official:** MONICA HENAO DMD (DENTIST)
- **Authorized official phone:** (984) 326-8443

## Contact information

- **Practice address:** 618 LAKESTONE COMMONS AVE, FUQUAY VARINA, NC 27526-7386
- **Practice address phone:** (984) 326-8443
- **Practice address fax:** (984) 326-7771
- **Mailing address:** 618 LAKESTONE COMMONS AVE, FUQUAY VARINA, NC 27526-7386
- **Mailing address phone:** (984) 326-8443

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2024
- **Last updated:** 03/11/2024