DR. Shaun Henderson, DMD
NPI #1982133849 in Kirtland, New Mexico
Provider Information
- NPI Number
- 1982133849
- Entity Type
- Individual
- Name
- DR. Shaun Henderson, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jun 5, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 3 ROAD 6523
- City
- Kirtland
- State
- New Mexico
- ZIP Code
- 87417-9452
- Phone
- (505) 598-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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