Individual
DR. AYDEN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
413 N MCCROSKEY ST, NIXA, MO 65714-9330
(417) 725-3200
Mailing address
318 N FRANKLIN ST, RAYMORE, MO 64083-7884
(417) 204-3301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2024019618
MO
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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