Individual
DR. MARC HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
255 NORTH MAIN STREET, BRISTOL, CT 06010
(860) 589-7170
(860) 582-0850
Mailing address
255 NORTH MAIN STREET, BRISTOL, CT 06010
(860) 589-7170
(860) 582-0850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9602
CT
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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