| NPI | 1154890267 | 
|---|---|
| Doing Business As | MATTHEW J HENRY DDS PL | 
| Entity Type | Organization | 
| Authorized Contact | MATTHEW JACKSON HENRY Owner 305-336-0554  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental | 
| Enumeration Date | 2018-11-19 | 
| Last Update Date | 2018-11-30 |