Individual
DR. GREGORY CHARLES HENKEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1635 CHANNEL RD, BROAD CHANNEL, NY 11693-1218
(718) 474-7804
(718) 318-1762
Mailing address
1635 CHANNEL RD, BROAD CHANNEL, NY 11693-1218
(718) 474-7804
(718) 318-1762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036269 1
NY
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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