Individual
DR. GREGG R HENCKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
406 E DECKER ST, VIROQUA, WI 54665-1701
(608) 637-2035
Mailing address
406 E DECKER ST, VIROQUA, WI 54665-1701
(608) 637-2035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4466-015
WI
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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