Individual
DR. LAUREL KELSEY ALYSSA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
725 ALBANY STREET, 6TH FLOOR, SUITE 6A, BOSTON, MA 02118
(617) 358-6775
(617) 358-6781
Mailing address
725 ALBANY STREET, 6TH FLOOR, SUITE 6A, BOSTON, MA 02118
(617) 358-6775
(617) 358-6781
Taxonomy
Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
104477
CA
125Q00000X
Oral Medicine Dentistry
Primary
104477
CA
Other
Enumeration date
01/08/2019
Last updated
07/07/2025
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