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1013079656
WALTER E HENDERSON
FAYETTEVILLE, AR
NPI
1013079656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN 2240)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
Dr. WALTER E HENDERSON D.D.S.
179 N CHURCH AVE SUITE 102
FAYETTEVILLE, AR 72701
Phone number: 479-442-6512
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Mailing Address
Dr. WALTER E HENDERSON D.D.S.
179 N CHURCH AVE SUITE 102
FAYETTEVILLE, AR 72701-5265
Phone number: 479-442-6512
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