Individual
DR. MICHAEL EDWIN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
128 W CHEROKEE ST, CHESNEE, SC 29323-1226
(864) 461-3113
(864) 461-9689
Mailing address
128 W CHEROKEE ST, CHESNEE, SC 29323-1226
(864) 461-3113
(864) 461-9689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2869
SC
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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