Individual
BLAIR FREEMAN HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
298 OLD TROLLEY RD, SUMMERVILLE, SC 29485-4929
(843) 871-9070
Mailing address
298 OLD TROLLEY RD, SUMMERVILLE, SC 29485-4929
(843) 871-9070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7015
SC
Other
Enumeration date
07/08/2011
Last updated
06/26/2012
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