Individual
ROBERT PAUL HENDRICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
7265 FAR HILLS AVE, CENTERVILLE, OH 45459-4206
(937) 435-4924
(937) 435-6447
Mailing address
7265 FAR HILLS AVE, CENTERVILLE, OH 45459-4206
(937) 435-4924
(937) 435-6447
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30015680
OH
Other
Enumeration date
08/29/2006
Last updated
02/14/2011
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