| NPI | 1053962191 |
|---|---|
| Doing Business As | HENRY THE DENTIST |
| Entity Type | Organization |
| Authorized Contact | JEFFREY BEN RAPPAPORT Owner/Dental Director 551-999-2226 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |