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Individual

DR. LORI HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1506 CHAPEL HILL RD STE B, COLUMBIA, MO 65203-5504
(573) 446-6868
Mailing address
1506 CHAPEL HILL RD, STE B, COLUMBIA, MO 65203-5468
(573) 446-6868
(573) 446-5588

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
015006
MO

Other

Enumeration date
07/03/2006
Last updated
04/19/2018
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