Individual
CANDACE HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2810 S WALNUT STREET PIKE, BLOOMINGTON, IN 47401-8403
(812) 336-2688
Mailing address
13052 JENNA CT, CAMBY, IN 46113-8020
(812) 219-3140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013618A
IN
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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