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1083778807
BRIAN THOMAS HENRY
LAFAYETTE, IN
NPI
1083778807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12010156A)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
Dr. BRIAN THOMAS HENRY DDS
1709 TEAL RD
LAFAYETTE, IN 47905-2549
Phone number: 765-477-6487
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Mailing Address
Dr. BRIAN THOMAS HENRY DDS
1709 TEAL RD
LAFAYETTE, IN 47905-2549
Phone number: 765-477-6487
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