Michael W Henneman, D.D.S.

NPI #1629184866 in Ashland, Oregon

Provider Information

NPI Number
1629184866
Entity Type
Individual
Name
Michael W Henneman, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
574 WASHINGTON ST
State
Oregon
ZIP Code
97520-1682
Phone
(541) 482-0541

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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