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Organization

MATT HENDRICKSON PLLC

Active
Other names
Heritage Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATT HENDRICKSON D.D.S. (OWNER)
(972) 542-4402
Entity
Organization

Contact information

Practice address
1434 N CENTRAL EXPY, SUITE 121, MCKINNEY, TX 75070-3106
(972) 542-4402
(972) 542-2553
Mailing address
1434 N CENTRAL EXPY, SUITE 121, MCKINNEY, TX 75070-3106
(972) 542-4402
(972) 542-2553

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20486
TX

Other

Enumeration date
11/22/2011
Last updated
11/22/2011
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