Individual
DR. HARRY GEORGE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1835 KINGSHIGHWAY, EAST SAINT LOUIS, IL 62204-2135
(618) 482-7922
Mailing address
1835 KINGSHIGHWAY, EAST SAINT LOUIS, IL 62204-2135
(618) 482-7922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019015128
IL
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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