MIKE R HENRICKSON

MAPLEWOOD, MN
NPI1629291380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  D11920)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
Dr. MIKE R HENRICKSON DDS
1560 BEAM AVE SUITE 2
MAPLEWOOD, MN 55109-1191
Phone number: 651-777-8900
Mailing Address
Dr. MIKE R HENRICKSON DDS
1560 BEAM AVE SUITE 2
MAPLEWOOD, MN 55109-1191
Phone number: 651-777-8900