Individual
DERREK HENRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1110 E BROOMFIELD ST, MOUNT PLEASANT, MI 48858-4437
(989) 772-4581
(989) 773-6285
Mailing address
1110 E BROOMFIELD ST, MOUNT PLEASANT, MI 48858-4437
(989) 772-4581
(989) 773-6285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017540
MI
Other
Enumeration date
12/05/2006
Last updated
05/25/2022
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