DR. Mark William Henderson, DMD

NPI #1992792840 in Moody Afb, Georgia

Provider Information

NPI Number: 1992792840
Entity Type: Individual
Name: DR. Mark William Henderson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 5, 2005
Last Updated: Apr 25, 2018

Practice Location

Address: 23D MEDICAL GROUP 3278 MITCHELL BLVD
City: Moody Afb
State: Georgia
ZIP Code: 31699-1500
Phone: (229) 257-1459

Specialties & Taxonomy Codes

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

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