Individual
DR. CYNETHA NYCOLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027056
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2022
Last updated
04/11/2023
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