Individual
DR. MOLLY ANNE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1965 CLIFF LAKE RD, SUITE #102, EAGAN, MN 55122-2590
(651) 452-4828
(651) 452-4856
Mailing address
16375 CRYSTAL HILLS CIR, LAKEVILLE, MN 55044-5820
(612) 599-8850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12676
MN
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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