John R Hendricks JR. D.D.S.

NPI 1669695045 - Dentist - 1223G0001X

NPI Details
NPI 1669695045
Gender Male
Enumeration Date 04/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10700 MEDLOCK BRIDGE RD
SUITE 202
DULUTH GA, 30097-8456, US
Phone (770) 813-0079
Fax (770) 814-7407
Business Location
10700 MEDLOCK BRIDGE RD
SUITE 202
DULUTH GA, 30097-8456, US
Phone (770) 813-0079
Fax (770) 814-7407
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number 010491
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According to our database, Dr. John R Hendricks JR. D.D.S. NPI is 1669695045, taxonomy code is 1223G0001X and license number is 010491, license state is located at Georgia. John R Hendricks JR. D.D.S. physically located at 10700 Medlock Bridge Rd, Duluth GA, 30097-8456. NPI Number John R Hendricks JR. D.D.S. has the Individual type.

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1669695045 NPI number is provided on an as is basis without warranty of any kind. 1669695045 is maintained by the National Plan & Provider Enumeration System. The contents of John R Hendricks JR. D.D.S. are for informational purposes only.