Individual
DR. GARY STARK HENDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
622 7TH ST, PAWNEE, OK 74058-2541
(918) 762-2600
(918) 762-2600
Mailing address
622 7TH ST, PAWNEE, OK 74058-2541
(918) 762-2600
(918) 762-2600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3796
OK
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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