Individual
DR. CLINTON C HENRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4361 BONIFACE PKWY, ANCHORAGE, AK 99504-4316
(907) 333-1211
(907) 333-8600
Mailing address
1942 CIRCLEWOOD DR, ANCHORAGE, AK 99516-1993
(907) 333-1211
(907) 333-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1172
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD4557
—
AK
Enumeration date
05/30/2007
Last updated
07/08/2007
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