Individual
GARRET HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1115 19TH AVE N, FARGO, ND 58102-2201
(701) 293-8625
Mailing address
3115 UNIVERSITY DR S, FARGO, ND 58103-6003
(701) 232-8884
(701) 232-6064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2507
ND
Other
Enumeration date
06/04/2024
Last updated
06/12/2024
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