Paul J Henningson DDS PA

NPI #1285602664 in Brainerd, Minnesota

Provider Information

NPI Number: 1285602664
Entity Type: Organization
Organization Name: Paul J Henningson DDS PA
Primary Specialty: Dentist
Enumeration Date: Mar 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 501 MAPLE STREET
City: Brainerd
State: Minnesota
ZIP Code: 56401-3527
Phone: (218) 829-9403

Authorized Official

Name: DR. PAUL JOHN HENNINGSON, DDS
Title: PRESIDENT
Phone: (218) 829-9403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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