Individual
DR. KATELYN MARIE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6820 MATTHEWS MINT HILL RD STE 204, MINT HILL, NC 28227-9492
(704) 800-0255
Mailing address
6820 MATTHEWS MINT HILL RD STE 204, MINT HILL, NC 28227-9492
(704) 732-2629
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
151094
NC
1223G0001X
General Practice Dentistry
Primary
10590
NC
Other
Enumeration date
07/19/2016
Last updated
12/05/2022
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