Individual
DR. GENE TALMADGE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
412 E BROAD ST, ELYRIA, OH 44035-6436
(440) 323-3339
Mailing address
412 E BROAD ST, ELYRIA, OH 44035-6436
(440) 323-3339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14676
OH
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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