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1578079828
LATISHA DEIDRA HENDERSON
MARLTON, NJ
NPI
1578079828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: NJ 22DI02697000)
Enumeration Date
2017-12-22
Last Update Date
2024-01-05
Business Address
DR. LATISHA DEIDRA HENDERSON DMD, MS
1000 LINCOLN DR E
MARLTON, NJ 08053-1566
Phone number: 877-422-6257
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Mailing Address
DR. LATISHA DEIDRA HENDERSON DMD, MS
128 ALTER ST
PHILADELPHIA, PA 19147-5406
Phone number: 856-534-4326
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