Individual
CHRISSY HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1601 AIRPORT DR, SHAWNEE, OK 74804-4302
(405) 273-1020
Mailing address
1601 AIRPORT DR, SHAWNEE, OK 74804-4302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5865
OK
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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