Individual
WALTER ANDREW HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4431 68TH STREET, USA DENTAC, FT HOOD, TX 76544
(254) 287-2705
(254) 287-1786
Mailing address
4431 68TH STREET, USA DENTAC, FT HOOD, TX 76544
(254) 287-2705
(254) 287-1786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6172
KY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
6172
KY
Other
Enumeration date
09/06/2006
Last updated
06/21/2013
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