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 |