Individual
DR. CJ HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3675 HENDRICKS AVE, JACKSONVILLE, FL 32207-5360
(904) 398-1549
Mailing address
3675 HENDRICKS AVE, JACKSONVILLE, FL 32207-5360
(904) 398-1549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18997
FL
Other
Enumeration date
06/16/2010
Last updated
08/08/2016
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