Individual
ADDISON HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1301 US HIGHWAY 41 BYP S, VENICE, FL 34285-5545
(941) 800-2095
Mailing address
1301 US HIGHWAY 41 BYP S, VENICE, FL 34285-5545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN28362
FL
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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