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Organization

BRAXTON M HENDERSON DMD PA

Active
Other names
SOUTHERN OFFICE-BASED ANESTHESIA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRAXTON M HENDERSON DMD (PRESIDENT)
(901) 493-7721
Entity
Organization

Contact information

Practice address
2643 RANDLEMAN RD, GREENSBORO, NC 27406-5153
(252) 213-8484
Mailing address
316 MAIN ST, OXFORD, NC 27565-3323
(901) 493-7721

Taxonomy

Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary

Other

Enumeration date
04/21/2021
Last updated
04/21/2021
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