Individual
DR. IDA E. HENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
511 AVE HOSTOS, STE. A, SAN JUAN, PR 00918-3230
(787) 754-9585
(787) 274-1385
Mailing address
27 CALLE SANTA ANASTACIA, EL VIGIA, SAN JUAN, PR 00926-4202
(787) 760-4843
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1351
PR
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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