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1992820773
DAVID J HENDERSON
BLOOMINGTON, IN
NPI
1992820773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IN 12007864A)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Dr. DAVID J HENDERSON dds
857 S AUTO MALL RD
BLOOMINGTON, IN 47401-5447
Phone number: 812-333-1051
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Mailing Address
Dr. DAVID J HENDERSON dds
4611 EAGLEVIEW DR
BLOOMINGTON, IN 47403-9043
Phone number: 812-824-2782
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