| Ronald D. Henson, D.d.s., Inc. | |
|
938 Dewing Ave Ste 2 Lafayette CA 94549-4271 | |
| (925) 283-6564 | |
| (925) 283-0827 |
| Full Name | Ronald D. Henson, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 938 Dewing Ave Ste 2, Lafayette, California |
| Authorized Official Name and Position | Ronald Duane Henson (PRESIDENT) |
| Authorized Official Contact | 9252836564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald D. Henson, D.d.s., Inc. 938 Dewing Ave Ste 2 Lafayette CA 94549-4271 Ph: (925) 283-6564 | Ronald D. Henson, D.d.s., Inc. 938 Dewing Ave Ste 2 Lafayette CA 94549-4271 Ph: (925) 283-6564 |
| NPI Number | 1366575938 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366575938 | NPI | - | NPPES |
| 23615 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23615 (California) | Primary |
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