Organization
HENRICKSEN-HOLDINGS COLUMBUS LLC
Active
Other names
Lifetime Dental Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WALKER (AGENT)
(801) 550-6421
Entity
Organization
Contact information
Practice address
1960 BETHEL RD STE 240, COLUMBUS, OH 43220-1815
(614) 333-9442
Mailing address
1960 BETHEL RD STE 240, COLUMBUS, OH 43220-1815
(614) 333-9442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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