Individual
DR. RAYMOND K. HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
140 E 200 N, RICHFIELD, UT 84701-2144
(435) 896-6444
Mailing address
140 E 200 N, RICHFIELD, UT 84701-2144
(435) 896-6444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2029
UT
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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