Individual
DR. PAULA A HENAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7842 N POINT BLVD, WINSTON SALEM, NC 27106-3234
(336) 759-0651
(336) 759-7454
Mailing address
7842 N POINT BLVD, WINSTON SALEM, NC 27106-3234
(336) 759-0651
(336) 759-7454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7612
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3130
DELTA
—
01
—
9022J
BCBS
—
05
—
902RJ
—
NC
Enumeration date
11/28/2006
Last updated
10/12/2011
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