DR. Jack Albert Henry, D.M.D.
NPI #1306860556 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1306860556
- Entity Type
- Individual
- Name
- DR. Jack Albert Henry, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3993 LAKE GROVE AVE
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-4493
- Phone
- (503) 636-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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