Individual
DR. LARRY DAYNE HIMEBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
591 W CHICAGO ST, COLDWATER, MI 49036-9189
(517) 279-7900
Mailing address
10269 ALLAMANDA BLVD, PALM BEACH GARDENS, FL 33410-5215
(561) 495-8585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901008994
MI
Other
Enumeration date
04/24/2007
Last updated
05/31/2011
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