Robert Paul Hendricksen DDS MS

NPI 1689783334 - Dentist - 1223S0112X

NPI Details
NPI 1689783334
Gender Male
Enumeration Date 08/29/2006
Last Updated 02/14/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
7265 FAR HILLS AVE
CENTERVILLE OH, 45459-4206, US
Phone (937) 435-4924
Fax (937) 435-6447
Business Location
7265 FAR HILLS AVE
CENTERVILLE OH, 45459-4206, US
Phone (937) 435-4924
Fax (937) 435-6447
Toxanomy
Taxonomy Code 1223S0112X
License State Ohio
License Number 30015680
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According to our database, Robert Paul Hendricksen DDS MS NPI is 1689783334, taxonomy code is 1223S0112X and license number is 30015680, license state is located at Ohio. Robert Paul Hendricksen DDS MS physically located at 7265 Far Hills Ave, Centerville OH, 45459-4206. NPI Number Robert Paul Hendricksen DDS MS has the Individual type.

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1689783334 NPI number is provided on an as is basis without warranty of any kind. 1689783334 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Paul Hendricksen DDS MS are for informational purposes only.