Individual
DR. JULIE L HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
902 PARK ST, GRINNELL, IA 50112-2050
(641) 236-6174
Mailing address
902 PARK ST, GRINNELL, IA 50112-2050
(641) 236-6174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08920
IA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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