Ivan K Hendrickson, DDS

NPI #1003079260 in St George, Utah

Provider Information

NPI Number
1003079260
Entity Type
Individual
Name
Ivan K Hendrickson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 8, 2008
Last Updated
Mar 6, 2013

Practice Location

Address
720 S RIVER RD STE B210
State
Utah
ZIP Code
84790-5584
Phone
(435) 656-0507

Specialties & Taxonomy Codes

Specialty
Dentist

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