Organization
JESSICA A. HENDERSON PC
Active
Other names
Contemporary Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA ANN HENDERSON D.M.D. (DENTIST/OWNER)
(407) 247-1497
Entity
Organization
Contact information
Practice address
1016 NW NEWPORT AVE, BEND, OR 97703-1618
(541) 389-1107
(541) 317-5958
Mailing address
55110 JACK PINE WAY, BEND, OR 97707-2712
(407) 247-1497
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
OR
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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