Individual
DR. BREANNA RICHELLE HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3026 FARROW RD, COLUMBIA, SC 29203-7002
(803) 567-1804
(803) 255-0222
Mailing address
3026 FARROW RD, COLUMBIA, SC 29203-7002
(803) 567-1804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9952
SC
Other
Enumeration date
06/18/2021
Last updated
03/27/2022
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