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Organization
JACOB FRANCIS HENDERSON DDS LLC
Active
Organization
JACOB FRANCIS HENDERSON DDS LLC
Active
Other names
CENTRAL DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB FRANCIS HENDERSON DDS (OWNER)
(225) 261-6645
Entity
Organization
Contact information
Practice address
11424 SULLIVAN RD BLDG B, STE A, BATON ROUGE, LA 70818-3615
(225) 261-6645
(225) 262-9061
Mailing address
11424 SULLIVAN RD BLDG B, STE A, BATON ROUGE, LA 70818-3615
(225) 261-6645
(225) 262-9061
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5406
LA
Other
Enumeration date
04/17/2015
Last updated
04/20/2015
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