DAVID J HENDERSON

BLOOMINGTON, IN
NPI1992820773
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IN  12007864A)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
Dr. DAVID J HENDERSON dds
857 S AUTO MALL RD
BLOOMINGTON, IN 47401-5447
Phone number: 812-333-1051
Mailing Address
Dr. DAVID J HENDERSON dds
4611 EAGLEVIEW DR
BLOOMINGTON, IN 47403-9043
Phone number: 812-824-2782