Individual
DR. JACOB FRANCIS HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11424 SULLIVAN RD BLDG B SUITE A, BATON ROUGE, LA 70817
(225) 261-6645
(225) 262-9061
Mailing address
11424 SULLIVAN RD BLDG B SUITE A, BATON ROUGE, LA 70817
(225) 261-6645
(225) 262-9061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5406
LA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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