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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