Individual
DR. BRADFORD R. HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
910 KATHERINE AVE, ASHLAND, OH 44805-0386
(419) 289-3325
Mailing address
910 KATHERINE AVE, P.O. BOX 386, ASHLAND, OH 44805-3692
(419) 289-3325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-6177
OH
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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