Organization
HENDRICKS CA DENTAL GROUP, INC
Active
Other names
Dentistry for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
GINNA HENDRICKS MBA (GENERAL MANAGER)
(505) 603-6220
Entity
Organization
Contact information
Practice address
3661 TORRANCE BLVD STE 105, TORRANCE, CA 90503-4881
(310) 543-3292
Mailing address
25 TEDDY BEAR TRL, SANTA FE, NM 87505-8118
(505) 603-6595
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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