Organization
CENTRAL DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB F HENDERSON D.D.S. (OWNER)
(225) 261-6645
Entity
Organization
Contact information
Practice address
11424 SULLIVAN RD BLDG B SUITE A, BATON ROUGE, LA 70818-3615
(225) 261-6645
(225) 262-9061
Mailing address
11424 SULLIVAN ROAD BLDG B SUITE A, BATON ROUGE, LA 70818
(225) 261-6645
(225) 262-9061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5406
LA
Other
Enumeration date
12/05/2006
Last updated
07/14/2008
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