Organization
LAKE AREA DENTISTRY KINDER
Active
Other names
Lake Area Dentistry Kinder
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY HENNIGAN DDS (OWNER)
(337) 478-8470
Entity
Organization
Contact information
Practice address
203 1ST AVE, KINDER, LA 70648-3538
(337) 738-2598
(337) 738-3102
Mailing address
203 1ST AVE, KINDER, LA 70648-3538
(337) 738-2598
(337) 738-3102
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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