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Organization
TERRY W HENDRICKS, D.M.D., PC
Active
Organization
TERRY W HENDRICKS, D.M.D., PC
Active
Other names
Hometown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY W HENDRICKS DMD (PRESIDENT)
(570) 726-4988
Entity
Organization
Contact information
Practice address
236 PENNSYLVANIA AVE, MILL HALL, PA 17751-1829
(570) 726-4988
Mailing address
236 PENNSYLVANIA AVE, MILL HALL, PA 17751-1829
(570) 726-4988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS016434L
PA
Other
Enumeration date
04/20/2007
Last updated
08/24/2009
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