Individual provider · Type 1 NPI

Andrea Lynne Henderson, D.D.S, F.A.C.P

Prosthodontics · Los Angeles, CA

NPI number 1194072231 Active

Practice location

11980 San Vicente Blvd, Suite 918
Los Angeles, CA 90049-5012

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X61553 (CA)

Prosthodontics: 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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About NPI 1194072231

Andrea Lynne Henderson, D.D.S, F.A.C.P's National Provider Identifier is 1194072231, issued on Aug 8, 2012. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 8, 2012.