Individual
BRUCE DAVIS HENNING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 N ALMA SCHOOL RD STE 4, CHANDLER, AZ 85224-3687
(480) 461-8683
Mailing address
610 N ALMA SCHOOL RD STE 4, CHANDLER, AZ 85224-3687
(480) 461-8683
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010406
AZ
Other
Enumeration date
06/21/2019
Last updated
06/24/2019
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