Individual
DR. JASON HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
1223G0001X
General Practice Dentistry
Primary
5223-015
WI
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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