Individual
DR. ROGER HENNIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3320 NOBLE POND WAY, SUITE 109, WOODBRIDGE, VA 22193-1469
(703) 640-1000
Mailing address
3320 NOBLE POND WAY, SUITE 109, WOODBRIDGE, VA 22193-1469
(703) 640-1000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401410987
VA
Other
Enumeration date
09/20/2006
Last updated
11/09/2015
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