Individual
DR. JUSTIN J.W. HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2540 SEVERN AVE, SUITE 305, METAIRIE, LA 70002-5954
(504) 885-1133
(504) 888-3014
Mailing address
2540 SEVERN AVE, SUITE 305, METAIRIE, LA 70002-5954
(504) 885-1133
(504) 888-3014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2290
LA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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