Organization
DR. LORI HENDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK COX (OFFICE MANGER)
(573) 446-6868
Entity
Organization
Contact information
Practice address
1506 CHAPEL HILL RD STE B, COLUMBIA, MO 65203-5504
(573) 446-6868
(573) 446-5588
Mailing address
1506 CHAPEL HILL RD STE B, COLUMBIA, MO 65203-5504
(573) 446-6868
(573) 446-5588
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15006
MT
Other
Enumeration date
11/13/2017
Last updated
06/16/2018
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