Individual
MS. JENNIFER LYNN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
5019 W NORTH AVE, MILWAUKEE, WI 53208-1121
(414) 445-6500
Mailing address
4482 N 65TH ST, MILWAUKEE, WI 53218-5505
(414) 460-1098
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11169-16
WI
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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