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Individual

DR. JUDITH CECILIA HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD,MPH

Contact information

Practice address
12165 ELM ST, PRINCESS ANNE, MD 21853-1358
(410) 651-5151
(410) 651-4256
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-0654

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4233
DC
1223G0001X
General Practice Dentistry
Primary
8214
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119591300
MD
Enumeration date
04/18/2008
Last updated
12/13/2023
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