Jason David Henderson, DDS

NPI #1093987216 in Manlius, New York

Provider Information

NPI Number
1093987216
Entity Type
Individual
Name
Jason David Henderson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 27, 2008
Last Updated
Jun 13, 2012

Practice Location

Address
8179 CAZENOVIA RD.
ZIP Code
13104
Phone
(315) 682-2466

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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