Individual
DR. JEFFREY MARTIN HENKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS, FICD
Contact information
Practice address
24860 TAYLOR ST, LOMA LINDA, CA 92350-0001
(909) 558-4610
(909) 558-4801
Mailing address
24860 TAYLOR ST, LOMA LINDA, CA 92350-0001
(909) 558-4610
(909) 558-4801
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19A14070
IL
1223P0300X
Periodontics
56670
CA
Other
Enumeration date
12/04/2006
Last updated
02/27/2008
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