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Organization
KARA HENDERSON, DDS, PA II
Active
Organization
KARA HENDERSON, DDS, PA II
Active
Other names
Henderson Sedation and Hospital Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KARA MICHELLE HENDERSON DDS (OWNER)
(252) 492-3355
Entity
Organization
Contact information
Practice address
451 RUIN CREEK RD STE 105, HENDERSON, NC 27536-5920
(252) 492-3355
(252) 492-9938
Mailing address
451 RUIN CREEK RD STE 105, HENDERSON, NC 27536-5920
(252) 492-3355
(252) 492-9938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811081037
—
NC
Enumeration date
03/11/2021
Last updated
08/16/2021
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