Individual
DR. ANDREA LYNNE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S, F.A.C.P
Contact information
Practice address
11980 SAN VICENTE BLVD, SUITE 918, LOS ANGELES, CA 90049-5012
(310) 826-6535
Mailing address
11980 SAN VICENTE BLVD, STE 918, LOS ANGELES, CA 90049-5012
(310) 826-6535
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
61553
CA
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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