Individual
MR. GARY JOSEPH HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1085 WILSHIRE BOULEVARD, STEVENS POINT, WI 54481
(715) 344-7866
(715) 344-7155
Mailing address
1578 SOUTH PONDEROSA DRIVE, STEVENS POINT, WI 54481
(715) 295-0734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5140
WI
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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