Provider Demographics
NPI:1538230388
Name:HENDERSON, CHRISTOPHER E (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:E
Last Name:HENDERSON
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:11843 SEBASTIAN WAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-0710
Mailing Address - Country:US
Mailing Address - Phone:909-481-6867
Mailing Address - Fax:909-481-6870
Practice Address - Street 1:11843 SEBASTIAN WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0710
Practice Address - Country:US
Practice Address - Phone:909-481-6867
Practice Address - Fax:909-481-6870
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2019-09-11
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Provider Licenses
StateLicense IDTaxonomies
CA53704204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery