Individual
HENRY KESLER HIGGINBOTHAM II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
73 3RD ST NW, PULASKI, VA 24301-5007
(540) 980-8898
Mailing address
73 3RD ST NW, PULASKI, VA 24301-5007
(540) 980-8898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005088
VA
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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