Jacob Francis Henderson DDS LLC

NPI #1144617150 in Baton Rouge, Louisiana

Provider Information

NPI Number
1144617150
Entity Type
Organization
Organization Name
Jacob Francis Henderson DDS LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 17, 2015
Last Updated
Apr 20, 2015

Practice Location

Address
11424 SULLIVAN RD BLDG B
Address 2
STE A
ZIP Code
70818-3615
Phone
(225) 261-6645

Authorized Official

Name
DR. JACOB FRANCIS HENDERSON, DDS
Title
OWNER
Phone
(225) 261-6645

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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