Individual
DR. BRIAN L HEADRICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 S FOWLER, MEADE, KS 67864-0516
(620) 873-2802
(620) 873-5308
Mailing address
115 E ELIZABETH, CIMARRON, KS 67835-0766
(620) 855-2288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6083
KS
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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