Individual
CANDACE J HENDERSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
238 FRONT ST, CASHTON, WI 54619-2002
(608) 654-5100
(608) 654-5120
Mailing address
238 FRONT ST, CASHTON, WI 54619-2002
(608) 654-5100
(608) 654-5120
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11172-16
WI
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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