Individual
DR. MARK ALAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
2050 MARQUETTE RD, SUITE 300, PERU, IL 61354
(815) 223-9931
(815) 223-9689
Mailing address
2050 MARQUETTE RD, SUITE 300, PERU, IL 61354
(815) 223-9931
(815) 223-9689
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
021001743
IL
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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