| Gabriel Henao Dds, Inc | |
| 
					18772 Flying Tiger Dr Canyon Country CA 91387  | |
| (661) 250-9600 | |
| (661) 250-9601 | 
| Full Name | Gabriel Henao Dds, Inc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 18772 Flying Tiger Dr, Canyon Country, California | 
| Authorized Official Name and Position | Gabriel Henao (PRESIDENT) | 
| Authorized Official Contact | 6612874352 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gabriel Henao Dds, Inc 18772 Flying Tiger Dr Canyon Country CA 91387 Ph: (661) 250-9600  | Gabriel Henao Dds, Inc 18772 Flying Tiger Dr Canyon Country CA 91387 Ph: (661) 250-9600  | 
| NPI Number | 1053731570 | 
|---|---|
| Provider Enumeration Date | 04/23/2014 | 
| Last Update Date | 04/23/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053731570 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55971 (California) | Primary | 
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