Henderson And Henderson Dds, Inc | |
412 E Broad St Elyria OH 44035-6436 | |
(440) 323-3339 | |
Not Available |
Full Name | Henderson And Henderson Dds, Inc |
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Speciality | Dentist - General Practice |
Location | 412 E Broad St, Elyria, Ohio |
Authorized Official Name and Position | Gene Henderson (DENTIST) |
Authorized Official Contact | 4403233339 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Henderson And Henderson Dds, Inc 412 E Broad St Elyria OH 44035-6436 Ph: (440) 323-3339 | Henderson And Henderson Dds, Inc 412 E Broad St Elyria OH 44035-6436 Ph: (440) 323-3339 |
NPI Number | 1255547543 |
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Provider Enumeration Date | 05/15/2007 |
Last Update Date | 10/07/2008 |
Identifier | Type | State | Issuer |
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1255547543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 14676 (Ohio) | Primary |
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