Organization
LISA HENSON DMD LLC
Active
Other names
Regis Court Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH P HENSON DMD (DENTIST)
(715) 834-2032
Entity
Organization
Contact information
Practice address
1102 REGIS CT, EAU CLAIRE, WI 54701-4404
(715) 834-2032
(715) 552-1552
Mailing address
1102 REGIS CT, EAU CLAIRE, WI 54701-4404
(715) 834-2032
(715) 552-1552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000361
WI
Other
Enumeration date
11/04/2009
Last updated
12/04/2012
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