Individual
DR. CHAD ALLRED HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
467 COLLEGE BLVD, OCEANSIDE, CA 92057-5436
(703) 507-1820
Mailing address
7910 ALTANA WAY, SAN DIEGO, CA 92108-2625
(703) 507-1820
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63193
CA
Other
Enumeration date
01/01/2014
Last updated
03/07/2023
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