| NPI | 1568109726 |
|---|---|
| Doing Business As | DR. DERREK HENRIE |
| Entity Type | Organization |
| Authorized Contact | DERREK HENRIE Dentist 989-772-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-25 |