Individual
ELBERT MAURICE HENDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 GRISWOLD ST STE 224, DETROIT, MI 48226-4014
(313) 263-0230
(313) 263-0320
Mailing address
645 GRISWOLD ST STE 224, DETROIT, MI 48226-4014
(313) 263-0230
(313) 263-0320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10962
MI
Other
Enumeration date
10/20/2006
Last updated
03/20/2018
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