Individual
DR. PATRICK J HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4040 LONESOME RD, MANDEVILLE, LA 70448-7085
(985) 626-5030
Mailing address
159 E OAKRIDGE PARK, METAIRIE, LA 70005-4018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6123
LA
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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