Individual
DR. RICHARD GLENN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
112 VAL VERDE ST, SUITE A, ALTUS, OK 73521-1190
(580) 482-0441
(580) 482-0443
Mailing address
304 QUAIL RUN N, ALTUS, OK 73521-9783
(580) 482-1643
(580) 482-0443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4975
OK
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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