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Organization
HENDERSON & ASSOCIATES DDS PC DBA JOLLY SMILES MOBILE DENTAL SERVICES
Active
Organization
HENDERSON & ASSOCIATES DDS PC DBA JOLLY SMILES MOBILE DENTAL SERVICES
Active
Other names
Jolly Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ELBERT M. HENDERSON DDS (DIRECTOR)
(586) 873-1014
Entity
Organization
Contact information
Practice address
645 GRISWOLD ST STE 224, DETROIT, MI 48226-4014
(586) 873-1014
Mailing address
645 GRISWOLD ST STE 224, DETROIT, MI 48226-4014
(586) 873-1014
(248) 864-8648
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
06/04/2022
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