DR. Gene Talmadge Henderson, D.D.S.

NPI #1174739411 in Elyria, Ohio

Provider Information

NPI Number: 1174739411
Entity Type: Individual
Name: DR. Gene Talmadge Henderson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 412 E BROAD ST
City: Elyria
State: Ohio
ZIP Code: 44035-6436
Phone: (440) 323-3339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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