BRADLEY JOSEPH HENKENIUS

FLAGSTAFF, AZ
NPI1134293632
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  6514)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
-- BRADLEY JOSEPH HENKENIUS DDS
710 N BEAVER ST BLDG 1
FLAGSTAFF, AZ 86001-3100
Phone number: 928-774-0181
Mailing Address
-- BRADLEY JOSEPH HENKENIUS DDS
1005 W BOULDER LN
FLAGSTAFF, AZ 86001-1126
Phone number: 928-774-9660