Individual
KENT R HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
26 E HASKELL ST, D, WINNEMUCCA, NV 89445-3585
(775) 623-5932
Mailing address
26 E HASKELL ST, D, WINNEMUCCA, NV 89445-3585
(775) 623-5932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NV 3779
NV
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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