Organization
KARA HENDERSON, DDS, PA II
Active
Other names
Henderson Sedation and Hospital Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KARA MICHELLE HENDERSON DDS (OWNER)
(252) 492-3355
Entity
Organization
Contact information
Practice address
451 RUIN CREEK RD STE 105, HENDERSON, NC 27536-5920
(252) 492-3355
(252) 492-9938
Mailing address
451 RUIN CREEK RD STE 105, HENDERSON, NC 27536-5920
(252) 492-3355
(252) 492-9938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811081037
—
NC
Enumeration date
03/11/2021
Last updated
08/16/2021
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