Organization
WHOLE CHILD DENTAL, LLC
Active
Other names
Dentistry For Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN HENDRICKS DDS (OWNER)
(505) 603-6595
Entity
Organization
Contact information
Practice address
1439 S. ST. FRANCIS DR., SANTA FE, NM 87505
(505) 473-5437
(505) 438-3443
Mailing address
1439 S. ST. FRANCIS DR., SANTA FE, NM 87505
(505) 473-5437
(505) 438-3443
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DD3267
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62585878
—
NM
Enumeration date
03/08/2011
Last updated
02/05/2020
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