Individual
KATHERINE ANNE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1600 S 4TH AVE STE 110, MORTON, IL 61550-3401
(309) 263-2781
Mailing address
1600 S 4TH AVE STE 110, MORTON, IL 61550-3401
(309) 263-2781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032249
IL
Other
Enumeration date
07/18/2019
Last updated
06/07/2022
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