Individual
GENA HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2235 SW WESTPORT DR, TOPEKA, KS 66614-1945
(785) 272-3722
Mailing address
2235 SW WESTPORT DR, TOPEKA, KS 66614-1945
(785) 272-3722
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60779
KS
Other
Enumeration date
05/30/2013
Last updated
04/26/2016
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