Individual
DR. REGINA HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
105 N 5TH ST, NEW HYDE PARK, NY 11040-2926
(516) 220-0924
Mailing address
105 N 5TH ST, NEW HYDE PARK, NY 11040-2926
(516) 220-0924
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
054986
NY
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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