Individual
SARA BETH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8867
Mailing address
3964 ENSIGN AVE N, NEW HOPE, MN 55427-1067
(612) 607-9846
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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