Organization
HENDRICKS FAMILY & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON MICHAEL HENDRICKS DMD (DENTIST/OWNER)
(859) 368-8618
Entity
Organization
Contact information
Practice address
1025 DOVE RUN RD STE 208, LEXINGTON, KY 40502-3588
(859) 368-8618
Mailing address
1025 DOVE RUN RD STE 208, LEXINGTON, KY 40502-3588
(859) 368-8618
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
8627
KY
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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