| NPI | 1780992586 |
|---|---|
| Doing Business As | HENDERSON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIAN C JACKSON Owner/Partner 903-657-3139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19316) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2012-06-04 |