DR. Charles William Henderson, D.D.S.

NPI #1346262565 in Longview, Washington

Provider Information

NPI Number: 1346262565
Entity Type: Individual
Name: DR. Charles William Henderson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1230 7TH AVE
City: Longview
State: Washington
ZIP Code: 98632-3166
Phone: (360) 575-4801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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