Individual
DR. BERTRAM HENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
26560 AGOURA RD, SUITE 102, CALABASAS, CA 91302-1926
(818) 871-9416
(818) 865-2079
Mailing address
26560 AGOURA RD, SUITE 102, CALABASAS, CA 91302-1926
(818) 871-9416
(818) 865-2079
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
16175
CA
Other
Enumeration date
09/28/2006
Last updated
04/27/2010
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