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1629184866
MICHAEL W HENNEMAN
ASHLAND, OR
NPI
1629184866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D5466)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
-- MICHAEL W HENNEMAN D.D.S.
574 WASHINGTON ST
ASHLAND, OR 97520-1682
Phone number: 541-482-0541
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Mailing Address
-- MICHAEL W HENNEMAN D.D.S.
574 WASHINGTON ST
ASHLAND, OR 97520-1682
Phone number: 541-482-0541
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