Individual
DENISHA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28009 BERKSHIRE DR, SOUTHFIELD, MI 48076-2449
(313) 433-9017
Mailing address
28009 BERKSHIRE DR, SOUTHFIELD, MI 48076-2449
(313) 433-9017
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902013704
MI
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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