Individual
DR. BRIAN THOMAS HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1709 TEAL RD, LAFAYETTE, IN 47905-2549
(765) 477-6487
(765) 477-6488
Mailing address
1709 TEAL RD, LAFAYETTE, IN 47905-2549
(765) 477-6487
(765) 477-6488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010156A
IN
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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