Individual
DR. CHRISTOPHER E HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11843 SEBASTIAN WAY, SUITE 103, RANCHO CUCAMONGA, CA 91730-0710
(909) 481-6867
(909) 481-6870
Mailing address
11843 SEBASTIAN WAY, SUITE 103, RANCHO CUCAMONGA, CA 91730-0710
(909) 481-6867
(909) 481-6870
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
53704
CA
Other
Enumeration date
11/13/2006
Last updated
09/11/2019
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