Individual
MARIAN Y HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
220 UNITY ST, BELLINGHAM, WA 98225-4429
(360) 676-6177
Mailing address
220 UNITY ST, BELLINGHAM, WA 98225-4429
(360) 676-6177
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004940
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900394
—
WA
Enumeration date
02/27/2007
Last updated
01/24/2014
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