Individual
DR. ROBERT FRANK HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
421 G ST, FORKS, WA 98331-9025
(360) 374-2288
(360) 374-2271
Mailing address
PO BOX 1848, FORKS, WA 98331-1848
(360) 374-9558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004934
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55240-04
—
WA
01
—
5524004
WA DENTAL SERVICE
WA
Enumeration date
01/10/2007
Last updated
07/09/2007
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