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Organization
A. R. HENDRICKSEN, D.D.S., INC.
Active
Organization
A. R. HENDRICKSEN, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALF RONALD HENDRICKSEN D.D.S. (PRESIDENT)
(540) 587-5707
Entity
Organization
Contact information
Practice address
8642 FOREST RD, GOODE, VA 24556-3027
(540) 587-5707
(540) 587-5727
Mailing address
4901 MOUNTAIN LAUREL DR, LYNCHBURG, VA 24503-1972
(434) 384-6900
(434) 384-4964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
04426
VA
Other
Enumeration date
04/30/2008
Last updated
07/15/2008
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