Jeffrey L Henken DDS

NPI #1760592869 in Emmett, Idaho

Provider Information

NPI Number: 1760592869
Entity Type: Organization
Organization Name: Jeffrey L Henken DDS
Primary Specialty: Dentist
Enumeration Date: Aug 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1020 E LOCUST
City: Emmett
State: Idaho
ZIP Code: 83617
Phone: (208) 365-5064

Authorized Official

Name: JEFFREY L HENKEN, DDS
Title: DENTIST OWNER
Phone: (208) 365-5064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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