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Organization
RONALD D. HENSON, D.D.S., INC.
Active
Organization
RONALD D. HENSON, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD DUANE HENSON D.D.S. (PRESIDENT)
(925) 283-6564
Entity
Organization
Contact information
Practice address
938 DEWING AVE STE 2, LAFAYETTE, CA 94549-4271
(925) 283-6564
(925) 283-0827
Mailing address
938 DEWING AVE STE 2, LAFAYETTE, CA 94549-4271
(925) 283-6564
(925) 283-0827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23615
STATE LICENSE
CA
Enumeration date
03/13/2007
Last updated
08/22/2020
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