Individual
REBECCA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
(864) 351-2400
(864) 351-2420
Mailing address
1 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
(864) 351-2400
(864) 351-2420
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3308
SC
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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