Individual
DR. JOHN LAZARUS HENSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6500 COYLE AVE, SUITE 7, CARMICHAEL, CA 95608-0301
(916) 967-0092
(916) 967-7239
Mailing address
6500 COYLE AVE, SUITE 7, CARMICHAEL, CA 95608-0301
(916) 967-0092
(916) 967-7239
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24795
CA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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