Individual
AMY E HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1380 S COMMERCIAL ST, NEENAH, WI 54956-4636
(920) 725-5357
(920) 969-9813
Mailing address
1380 S COMMERCIAL ST, NEENAH, WI 54956-4636
(920) 725-5357
(920) 969-9813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4962
WI
Other
Enumeration date
10/12/2006
Last updated
06/16/2023
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