Organization
BRAD HENDRICKSON D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD R HENDRICKSON D.D.S. (OWNER)
(419) 289-3325
Entity
Organization
Contact information
Practice address
910 KATHERINE AVE, ASHLAND, OH 44805-0386
(419) 289-3325
(419) 289-3546
Mailing address
910 KATHERINE AVE, ASHLAND, OH 44805-0386
(419) 289-3325
(419) 289-3546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-6177
OH
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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