Organization · Type 2 NPI

Robert L. Henderson, D.m.d PSC

Dental Clinic/Center · West Liberty, KY

NPI number 1073775771 Active

Practice location

903 Main St
West Liberty, KY 41472-1023

Fax (606) 743-7481

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

About NPI 1073775771

Robert L. Henderson, D.m.d PSC's National Provider Identifier is 1073775771, issued on Jun 25, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in West Liberty, KY. The record was last updated on Aug 25, 2008.