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Individual

DR. TERRY W HENDRICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
266 HOGAN BLVD, SUITE 6, MILL HALL, PA 17751-1928
(570) 748-5552
(570) 748-0989
Mailing address
266 HOGAN BLVD, SUITE 6, MILL HALL, PA 17751-1928
(570) 748-5552
(570) 748-0989

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS016434L
PA

Other

Enumeration date
04/07/2007
Last updated
07/08/2007
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