Individual
DR. CLAUDIA GAIL VON HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
HOPI HEALTH CARE CENTER, HWY 264 MM 388, POLACCA, AZ 86042
(928) 737-6160
(928) 737-6168
Mailing address
PO BOX 335, POLACCA, AZ 86042-0335
(928) 737-6160
(928) 737-6168
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DD2013
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
436148
—
AZ
Enumeration date
03/01/2007
Last updated
07/08/2007
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