Robert L. Henderson, D.m.d Psc
NPI #1073775771 in West Liberty, Kentucky
Provider Information
- NPI Number
- 1073775771
- Entity Type
- Organization
- Organization Name
- Robert L. Henderson, D.m.d Psc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ROBERT L. HENDERSON, D.M.D, PSC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 25, 2008
- Last Updated
- Aug 25, 2008
Practice Location
- Address
- 903 MAIN ST
- City
- West Liberty
- State
- Kentucky
- ZIP Code
- 41472-1023
- Phone
- (606) 743-7480
Authorized Official
- Name
- MR. ROBERT L HENDERSON
- Title
- OFFICE MANAGER
- Phone
- (606) 743-7480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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