| Organization Name: | HENRY L VRUWINK DDS PA |
| NPI Number: | 1023449287 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRY L VRUWINK (OWNER) |
| Mailing Address: | 150 Scarboro St Asheboro |
| State: | NC US |
| Postal Code: | 272035781 |
| Phone Number: | 3366293113 |
| Fax Number: | 3366298341 |
| NPI Enumeration Date: | 12/12/2013 |
| NPI Last Update Date: | 12/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |