Individual
MERCEDES HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
19300 SW 376TH ST, FLORIDA CITY, FL 33034-6300
(305) 246-4607
Mailing address
19300 SW 376TH ST, FLORIDA CITY, FL 33034-6300
(305) 246-4607
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
15090
FL
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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