Individual
DR. ANDRE ANTHONY HENRIQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(719) 400-9031
Mailing address
4849 KATELYN DR, INDIANAPOLIS, IN 46228-7019
(719) 400-9031
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
044564-1
NY
Other
Enumeration date
11/02/2005
Last updated
07/21/2022
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