| NPI | 1952476269 |
|---|---|
| Former Legal Business Name | HENNIG & WOODBURY PC & SPENGLER & HENNIG PC |
| Entity Type | Organization |
| Authorized Contact | THEODORE B HENNIG President 989-799-7128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |