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Individual

DR. JOHN A HENDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
185 S BEADLE RD, LAFAYETTE, LA 70508
(337) 234-2349
Mailing address
185 S BEADLE RD, LAFAYETTE, LA 70508
(337) 234-2349

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3098
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1830984
LA
Enumeration date
02/27/2007
Last updated
07/08/2007
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