John Lazarus Henson III D.D.S.

NPI 1679785307 - Dentist - 1223P0221X

NPI Details
NPI 1679785307
Gender Male
Enumeration Date 05/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6500 COYLE AVE
SUITE 7
CARMICHAEL CA, 95608-0301, US
Phone (916) 967-0092
Fax (916) 967-7239
Business Location
6500 COYLE AVE
SUITE 7
CARMICHAEL CA, 95608-0301, US
Phone (916) 967-0092
Fax (916) 967-7239
Toxanomy
Taxonomy Code 1223P0221X
License State California
License Number 24795
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According to our database, Dr. John Lazarus Henson III D.D.S. NPI is 1679785307, taxonomy code is 1223P0221X and license number is 24795, license state is located at California. John Lazarus Henson III D.D.S. physically located at 6500 Coyle Ave, Carmichael CA, 95608-0301. NPI Number John Lazarus Henson III D.D.S. has the Individual type.

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1679785307 NPI number is provided on an as is basis without warranty of any kind. 1679785307 is maintained by the National Plan & Provider Enumeration System. The contents of John Lazarus Henson III D.D.S. are for informational purposes only.