JOSHUA ALLEN HENNIS

FORT IRWIN, CA
NPI1477902070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2016-06-06
Last Update Date2016-06-06
Business Address
MR. JOSHUA ALLEN HENNIS X2
4TH & INNER LOOP ROAD BLDG 171
FORT IRWIN, CA 92310
Phone number: 719-526-5537
Mailing Address
MR. JOSHUA ALLEN HENNIS X2
1631 WETZEL AVE BLDG 815
COLORADO SPRINGS, CO 80913-4095
Phone number: 719-526-5537
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