Individual
DR. JOHN DAVID HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
624 LAUDERDALE ST, SELMA, AL 36701-4529
(334) 872-9341
(334) 872-3823
Mailing address
624 LAUDERDALE ST, SELMA, AL 36701-4529
(334) 872-9341
(334) 872-3823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS00004514
AL
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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