Individual
KASSANDRA HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
508 UPLAND ST, KENAI, AK 99611-8026
(907) 335-7350
Mailing address
PO BOX 3663, KENAI, AK 99611-3663
(907) 252-8245
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
166055
AK
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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