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Organization
LAKE AREA DENTISTRY KINDER
Active
Organization
LAKE AREA DENTISTRY KINDER
Active
Other names
Lake Area Dentistry Kinder
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY HENNIGAN DDS (OWNER)
(337) 478-8470
Entity
Organization
Contact information
Practice address
203 1ST AVE, KINDER, LA 70648-3538
(337) 738-2598
(337) 738-3102
Mailing address
203 1ST AVE, KINDER, LA 70648-3538
(337) 738-2598
(337) 738-3102
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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