DR. Luke Anthony Henderson, DDS

NPI #1366938789 in La Grange, Texas

Provider Information

NPI Number: 1366938789
Entity Type: Individual
Name: DR. Luke Anthony Henderson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 9, 2018
Last Updated: Jul 9, 2018

Practice Location

Address: 259 E COLORADO ST
City: La Grange
State: Texas
ZIP Code: 78945-2243
Phone: (979) 968-9451

Specialties & Taxonomy Codes

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

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