Individual
EMILY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
277 MCLAWS CIR, WILLIAMSBURG, VA 23185-5649
(757) 229-1224
Mailing address
2108 26TH ST S UNIT 202, GREAT FALLS, MT 59405-5189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36460
TX
Other
Enumeration date
04/09/2020
Last updated
05/20/2024
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