Individual
DR. RICHARD ALBERT HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
225 N 6TH ST, PONCHATOULA, LA 70454-3201
(985) 386-7778
(985) 370-0101
Mailing address
225 N 6TH ST, PONCHATOULA, LA 70454-3201
(985) 386-7778
(985) 370-0101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3969
LA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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