LATISHA DEIDRA HENDERSON

MARLTON, NJ
NPI1578079828
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: NJ  22DI02697000)
Enumeration Date2017-12-22
Last Update Date2024-01-05
Business Address
DR. LATISHA DEIDRA HENDERSON DMD, MS
1000 LINCOLN DR E
MARLTON, NJ 08053-1566
Phone number: 877-422-6257
Mailing Address
DR. LATISHA DEIDRA HENDERSON DMD, MS
128 ALTER ST
PHILADELPHIA, PA 19147-5406
Phone number: 856-534-4326