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Individual

DR. HENRY MA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
11040 BOLLINGER CANYON RD, SAN RAMON, CA 94582-4969
(408) 646-0220
Mailing address
1214 MIRABEAU LN, SAN JOSE, CA 95132-2885
(408) 646-0220

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
102471
CA

Other

Enumeration date
05/29/2018
Last updated
05/29/2018
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