Organization
FLOREK HENDERSON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON ROBERT HENDERSON D.D.S. (OWNER)
(920) 725-5357
Entity
Organization
Contact information
Practice address
1380 S COMMERCIAL ST, NEENAH, WI 54956-4636
(920) 725-5357
(920) 969-9813
Mailing address
1380 S COMMERCIAL ST, NEENAH, WI 54956-4636
(920) 725-5357
(920) 969-9813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5223-015
WI
Other
Enumeration date
10/12/2006
Last updated
06/16/2023
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