Individual
JENNIFER LYNN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
Mailing address
3580 LELAND LN, UKIAH, CA 95482-6912
(707) 972-0825
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
37379
CA
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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