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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