Tana W Henderson DDS

NPI 1902027907 - Dentist - 122300000X

NPI Details
NPI 1902027907
Gender Female
Enumeration Date 05/01/2007
Last Updated 05/16/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
201 S WILMA AVE
RIPON CA, 95366-2350, US
Phone (209) 599-9951
Fax
Business Location
201 S WILMA AVE
RIPON CA, 95366-2350, US
Phone (209) 599-9951
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 37592
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According to our database, Tana W Henderson DDS NPI is 1902027907, taxonomy code is 122300000X and license number is 37592, license state is located at California. Tana W Henderson DDS physically located at 201 S Wilma Ave, Ripon CA, 95366-2350. NPI Number Tana W Henderson DDS has the Individual type.

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1902027907 NPI number is provided on an as is basis without warranty of any kind. 1902027907 is maintained by the National Plan & Provider Enumeration System. The contents of Tana W Henderson DDS are for informational purposes only.