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Individual

MR. HAROLD EDWIN HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
200 SAINT THOMAS DRIVE, WEIRTON, WV 26062
(304) 723-7200
(304) 723-4460
Mailing address
200 SAINT THOMAS DRIVE, WEIRTON, WV 26062
(304) 723-7200
(304) 723-4460

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2603
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0136873000
WV
Enumeration date
08/12/2006
Last updated
08/09/2011
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