Marlon Henderson Valid NPI
Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Dallas, TX
- NPI
- 1073672952
- Type
- Individual (Type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223X0400X
- License number
- 19577 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-12-07
- Last updated
- 2007-07-08
Practice location
3306 W Camp Wisdom Rd, Suite 100
Dallas, TX 75237-2596
(972) 572-0100