Organization
TONI L HENDERSON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONI LANETTE HENDERSON DDS (DENTIST)
(310) 246-1068
Entity
Organization
Contact information
Practice address
436 N ROXBURY DR, SUITE 104, BEVERLY HILLS, CA 90210-5026
(310) 246-1068
Mailing address
436 N ROXBURY DR, SUITE 104, BEVERLY HILLS, CA 90210-5026
(310) 246-1068
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
44890
CA
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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