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Organization

ROBERT L. HENDERSON, D.M.D PSC

Active
Parent organization
ROBERT L. HENDERSON, D.M.D, PSC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ROBERT L. HENDERSON, D.M.D, PSC
Authorized official
MR. ROBERT L HENDERSON (OFFICE MANAGER)
(606) 743-7480
Entity
Organization

Contact information

Practice address
903 MAIN ST, WEST LIBERTY, KY 41472-1023
(606) 743-7480
(606) 743-7481
Mailing address
903 MAIN ST, WEST LIBERTY, KY 41472-1023
(606) 743-7480
(606) 743-7481

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/25/2008
Last updated
08/25/2008
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