Organization
DARRELL W HEDRICK DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL W HEDRICK DDS (OWNER)
(417) 451-3545
Entity
Organization
Contact information
Practice address
2001 LAQUESTA DRIVE, NEOSHO, MO 64850
(417) 451-3545
Mailing address
2001 LAQUESTA DRIVE, NEOSHO, MO 64850
(417) 451-3545
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14903
MO
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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