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Individual

ANTHONY LEROY HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7319 NASHVILLE ST, RINGGOLD, GA 30736-2425
(706) 935-2206
(706) 935-8247
Mailing address
7319 NASHVILLE ST, RINGGOLD, GA 30736-2425
(706) 935-2206
(706) 935-8247

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011472
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9179673
GA
Enumeration date
05/03/2007
Last updated
11/25/2014
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