Individual
DR. DAVID J HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
857 S AUTO MALL RD, BLOOMINGTON, IN 47401-5447
(812) 333-1051
(812) 333-8933
Mailing address
4611 EAGLEVIEW DR, BLOOMINGTON, IN 47403-9043
(812) 824-2782
(812) 333-8933
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12007864A
IN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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