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Dr. Andrea Lynne Henderson, DDS,FACP
Prosthodontist in Los Angeles, California
NPI 1194072231

Andrea Lynne Henderson is a Prosthodontist based in Los Angeles, CA and is specialized in Prosthodontics. Andrea Lynne Henderson practices in Los Angeles, CA and has the professional credentials of DDS,FACP. The NPI Number for Andrea Lynne Henderson is 1194072231 and holds a License No. 61553 (California).

The current practice location address for Andrea Lynne Henderson is 11980 San Vicente Blvd, Los Angeles, CA and can be reached out via phone at 310-826-6535.

Location: 11980 San Vicente Blvd, Los Angeles, CA, 90049-5012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194072231
Provider Name
Andrea Lynne Henderson
Credential
DDS,FACP
Provider Entity Type
Individual
Gender
Female
Address
11980 San Vicente Blvd, Los Angeles, CA, 90049-5012
Phone Number
310-826-6535
Fax Number
Provider Enumeration Date
08/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11980 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-5012
Phone Number
310-826-6535
Fax Number
person
Provider Business Mailing Address Details
Address
11980 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-5012
Phone Number
310-826-6535
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
61553 (California)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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