Individual
DR. CLAY DOUGLAS HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 S MOORE AVE, USPHS INDIAN HOSPITAL, CLAREMORE, OK 74017-5047
(918) 342-6400
Mailing address
15712 E 112TH ST N, OWASSO, OK 74055-6094
(918) 371-9056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6847
KS
Other
Enumeration date
10/31/2005
Last updated
10/20/2011
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