Heath Hendrickson Mbr
Heath Hendrickson Mbr is a General Practice Dentistry in Provo, Utah. Licensed in Utah. Registered with an NPI since 2012.
- Licensed in
- UT
- In the registry since
- 2012
Practice location Address checks out
2230 N University Pkwy Ste 8AProvo, UT 84604-6702
Phone: (801) 370-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 5136599922 (UT) |
|---|
Record details
| NPI number | 1083978316 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Hendrickson — Owner · (801) 370-0050 |
| Other names | Wisdom Teeth Only |
| NPI enumerated | July 2, 2012 |
| Last updated in NPPES | July 2, 2012 |
| Mailing address | 2230 N University Pkwy Ste 8a, Provo, UT 84604-6702 |
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