Richard G. Henry

NPI #1114192911 in Altus, Oklahoma

Provider Information

NPI Number: 1114192911
Entity Type: Organization
Organization Name: Richard G. Henry
Primary Specialty: Dentist
Enumeration Date: Apr 23, 2008
Last Updated: Aug 25, 2008

Practice Location

Address: 112 VAL VERDE
City: Altus
State: Oklahoma
ZIP Code: 73521
Phone: (580) 482-0441

Authorized Official

Name: DEBORAH P SPLAWN
Title: BUSINESS ASSISTANT
Phone: (580) 482-0441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Health Maintenance Organization	302R00000X

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