Individual
MARLON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3306 W CAMP WISDOM RD, SUITE 100, DALLAS, TX 75237-2596
(972) 572-0100
Mailing address
650 INTERNATIONAL PKWY, SUITE 100, RICHARDSON, TX 75081-6612
(972) 572-0100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19577
TX
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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