BRIAN L HENNINGSEN DDS PC

JEFFERSON CITY, MO
NPI1215099437
Entity TypeOrganization
Authorized ContactBRIAN L HENNINGSEN
Owner
573-635-4852
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  013482)
Enumeration Date2006-12-14
Last Update Date2020-08-22
Business Address
BRIAN L HENNINGSEN DDS PC
1600 SOUTHWEST BLVD # B
JEFFERSON CITY, MO 65109-2434
Phone number: 573-635-4852
Mailing Address
BRIAN L HENNINGSEN DDS PC
1600 SOUTHWEST BLVD # B
JEFFERSON CITY, MO 65109-2434
Phone number: 573-635-4852
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