Organization
HENDRICKS DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA HENDRICKS (GENERAL MANAGER)
(505) 603-6220
Entity
Organization
Contact information
Practice address
444 SAINT MICHAELS DR STE B, SANTA FE, NM 87505-7674
(505) 989-8749
Mailing address
444 SAINT MICHAELS DR STE B, SANTA FE, NM 87505-7674
(505) 989-8749
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
4731
NM
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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