DR. JACK HENRY, D.M.D.
Dentist - General Practice
Active
Individual
NPI: 1306860556
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | OR 5500 (OR) |
Frequently Asked Questions
NPI 1306860556 is the National Provider Identifier for DR. JACK HENRY, D.M.D., a Dentist - General Practice provider located in Lake Oswego, OR. This NPI was enumerated on July 27, 2006.
DR. JACK HENRY, D.M.D. practices at 3993 LAKE GROVE AVE, Lake Oswego, OR 97035.
Quick Facts
- NPI
- 1306860556
- Type
- Individual
- Enumerated
- Jul 27, 2006
- Last Updated
- Jul 8, 2007
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