Individual
DR. DAVID EDMOND HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
27371 S 4410 RD, VINITA, OK 74301-7953
(918) 253-4800
Mailing address
605 E CENTER ST, COLLINSVILLE, OK 74021-3640
(918) 845-5505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6531
OK
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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