Individual
DR. PAUL ANDREW HENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1213 CORPORATE CIR SW, ROANOKE, VA 24018-1491
(540) 774-1577
Mailing address
1213 CORPORATE CIR SW, ROANOKE, VA 24018-1491
(540) 774-1577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007359
VA
Other
Enumeration date
11/01/2006
Last updated
09/08/2008
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