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Dr. Misty Autumn Henne-bhullar, DMD
General Practice Dentistry in Modesto, California
NPI 1083130538

Misty Autumn Henne-bhullar is a General Practice Dentistry based in San Jose, CA and is specialized in General Practice. Misty Autumn Henne-bhullar practices in Modesto, CA and has the professional credentials of DMD. The NPI Number for Misty Autumn Henne-bhullar is 1083130538 and holds a License No. 101918 (California).

The current practice location address for Misty Autumn Henne-bhullar is 3219 Mchenry Ave, Modesto, CA and can be reached out via phone at 209-409-8987.

Location: 3219 Mchenry Ave, Modesto, CA, 95120-1017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083130538
Provider Name
Misty Autumn Henne-bhullar
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
3219 Mchenry Ave, Modesto, CA, 95120-1017
Phone Number
209-409-8987
Fax Number
Provider Enumeration Date
08/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3219 Mchenry Ave
City
Modesto
State
California
Zip
95350-1457
Phone Number
209-409-8987
Fax Number
person
Provider Business Mailing Address Details
Address
3219 Mchenry Ave
City
Modesto
State
California
Zip
95350-1457
Phone Number
209-409-8987
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
101918 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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