Individual
DR. BRANDON DAVID HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
425 E. TABERNACLE, ST GEORGE, UT 84770
(435) 688-1400
(435) 688-1408
Mailing address
425 E. TABERNACLE, ST GEORGE, UT 84770
(435) 688-1400
(435) 688-1408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6649422-9922
UT
Other
Enumeration date
07/05/2007
Last updated
10/01/2015
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