Individual
DR. DAVID LEROY HENNINGER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17 A NORTH MAIN ST, DUBOIS, PA 15801
(814) 371-0705
(814) 371-9529
Mailing address
17 A NORTH MAIN STREET, DUBOIS, PA 15801
(814) 375-5872
(814) 371-9529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027641-L
PA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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