DR. Mark Reagan Henderson, D.D.S.
NPI #1376562082 in Tinker Afb, Oklahoma
Provider Information
- NPI Number
- 1376562082
- Entity Type
- Individual
- Name
- DR. Mark Reagan Henderson, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Sep 2, 2009
Practice Location
- Address
- 5700 ARNOLD ST
- City
- Tinker Afb
- State
- Oklahoma
- ZIP Code
- 73145-8105
- Phone
- (405) 736-2113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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