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Individual

AISHA HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1413 JOEL LN, CLEARWATER, FL 33755-2023
(727) 488-2884
Mailing address
PO BOX 1814, CLEARWATER, FL 33757-1814
(727) 488-2884

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11583
TN

Other

Enumeration date
07/01/2021
Last updated
07/01/2021
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