Individual
DR. DENNIS L HENRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
27 CENTRAL AVE SW, LE MARS, IA 51031-3520
(712) 546-4417
Mailing address
27 CENTRAL AVE SW, LE MARS, IA 51031-3520
(712) 546-4417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6164
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135533
—
IA
Enumeration date
10/03/2006
Last updated
07/08/2007
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