Individual
DR. CHARLES H HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
18555 N 79TH AVE, SUITE A104, GLENDALE, AZ 85708-8371
(928) 284-9632
(928) 284-6874
Mailing address
4343 N 21ST STREET, SUITE 208, PHOENIX, AZ 85016-0504
(928) 284-9632
(928) 284-6874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1998
AZ
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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