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Individual

DR. A. R. HENDRICKSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
HWY 221-8642 FOREST RD, GOODE, VA 24556
(540) 587-5707
(540) 587-5727
Mailing address
4901 MOUNTAIN LAUREL DR, LYNCHBURG, VA 24503-1972
(434) 384-6900
(434) 384-4964

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
04426
VA

Other

Enumeration date
03/08/2007
Last updated
04/30/2008
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