Hendricks Dental Group, LLC
Dentist, Prosthodontics in Santa Fe, NM. Organization (NPI-2).
NPI number1952810715
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1952810715
- Entity type
- Organization (NPI-2)
- Legal business name
- Hendricks Dental Group, LLC
- Organization subpart
- No
- Enumeration date
- Sep 25, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 4731 | NM | Yes |
Practice location
444 Saint Michaels Dr Ste BSanta Fe, NM 87505-7674
Phone 505-989-8749
Mailing address
444 Saint Michaels Dr Ste BSanta Fe, NM 87505-7674
Phone 505-989-8749
Authorized official
Virginia Hendricks
General Manager
5056036220
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