BRAXTON HENDERSON

GREENSBORO, NC
NPI1043664188
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223D0004X Dentist, Dentist Anesthesiologist Speciality
(Licence: VA  0401416381)
Additional Taxonomies122300000X Dentist
(Licence: PA  DS040743)
1223D0004X Dentist, Dentist Anesthesiologist Speciality
(Licence: NC  10942)
Enumeration Date2016-04-14
Last Update Date2019-02-05
Business Address
BRAXTON HENDERSON DMD
510 NICHOLAS RD STE F
GREENSBORO, NC 27409-3404
Phone number: 252-213-8484
Mailing Address
BRAXTON HENDERSON DMD
316 MAIN ST
OXFORD, NC 27565-3323
Phone number: 252-213-8484