Individual
DR. MARK A HENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2605 NW ROLLING GREEN DRIVE, CORVALLIS, OR 97330
(541) 757-0082
Mailing address
2605 NW ROLLING GREEN DRIVE, CORVALLIS, OR 97330
(541) 757-0082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7151
OR
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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