RUSSELL JAMES HENLEY

RIVERHEAD, NY
NPI1356469837
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  33138)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Dr. RUSSELL JAMES HENLEY dds
129 OSTRANDER AVE
RIVERHEAD, NY 11901-4643
Phone number: 631-727-1225
Mailing Address
Dr. RUSSELL JAMES HENLEY dds
129 OSTRANDER AVE
RIVERHEAD, NY 11901
Phone number: 631-727-1225
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