Organization
FOUR LIONS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDERSON DDS (OWNER/ORTHODONTIST)
(703) 507-1820
Entity
Organization
Contact information
Practice address
68100 RAMON RD STE A4, CATHEDRAL CITY, CA 92234-3389
(703) 507-1820
Mailing address
74237 ROYCE DR, PALM DESERT, CA 92211-0874
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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